Individual
MR. JEFFREY SCOTT HELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S., M.S. STUDENT I
Contact information
Practice address
2210 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6418
(541) 883-1030
(541) 884-2338
Mailing address
2210 N ELDORADO AVE, KLAMATH FALLS, OR 97601-6418
(541) 883-1030
(541) 884-2338
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171M00000X
OTHER SERVIC PROVIDERS-CARE MANAGER/CARE COORDINATOR
OR
Enumeration date
06/16/2011
Last updated
06/16/2011
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