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1720496375
JEREMY WADE ROSS
MEDFORD, OR
NPI
1720496375
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: OR PA169124)
Enumeration Date
2014-07-28
Last Update Date
2022-05-03
Business Address
JEREMY WADE ROSS PA
965 ELLENDALE DR
MEDFORD, OR 97504-8215
Phone number: 541-732-6000
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Mailing Address
JEREMY WADE ROSS PA
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 541-732-7950
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