Individual
JEREMY WHEELER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
1748 NW FAIRVIEW DR # A, GRESHAM, OR 97030-3842
(503) 492-3910
Mailing address
1748 NW FAIRVIEW DR # A, GRESHAM, OR 97030-3842
(503) 492-3910
Taxonomy
Speciality
Code
Description
License number
State
246Y00000X
Health Information Specialist/Technologist
Primary
10440
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10440
LMT
OR
Enumeration date
09/24/2020
Last updated
08/18/2021
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