Individual
DAN WALTER JERDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3314 VANDENBERG RD, KLAMATH FALLS, OR 97603-3730
(541) 880-6546
Mailing address
3314 VANDENBERG RD, KLAMATH FALLS, OR 97603-3730
(541) 880-6546
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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