Individual
JEFFREY ALLEN LOUIE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2900 STATE ST, MEDFORD, OR 97504-8475
(541) 779-1672
(541) 818-9434
Mailing address
2900 STATE ST, MEDFORD, OR 97504-8475
(541) 779-1672
(541) 818-9434
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
23998
WI
207T00000X
Neurological Surgery Physician
G57530
CA
207T00000X
Neurological Surgery Physician
Primary
MD15097
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
120832
—
OR
Enumeration date
07/29/2005
Last updated
07/08/2007
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