JEREMIAH LEE ELDRED

PORTLAND, OR
NPI1700016698
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  201150192NP)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: MT  RN39486)
Enumeration Date2009-07-25
Last Update Date2020-03-31
Business Address
Mr. JEREMIAH LEE ELDRED APRN
1350 NE 122ND AVE
PORTLAND, OR 97230-2011
Phone number: 503-408-7008
Mailing Address
Mr. JEREMIAH LEE ELDRED APRN
PO BOX 92900
PORTLAND, OR 97292-0900
Phone number: 360-608-9017