Individual
JERALD EDWARD ALBRICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2389 N MAPLE ST, CANBY, OR 97013-2106
(503) 651-3531
(503) 651-3531
Mailing address
2389 N MAPLE ST, CANBY, OR 97013-2106
(503) 651-3531
(503) 651-3531
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD07193
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MD07193
LICENSE
OR
Enumeration date
12/28/2006
Last updated
07/08/2007
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