Individual
DR. PAUL GEORGE JENDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
205 FERN VALLEY RD STE A, PHOENIX, OR 97535-9100
(541) 535-1274
(541) 535-6973
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(541) 535-1274
(541) 535-6973
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3854
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3854
STATE LICENSE #
AZ
Enumeration date
07/18/2005
Last updated
03/07/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us