JEREMY WADE ROSS

MEDFORD, OR
NPI1720496375
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: OR  PA169124)
Enumeration Date2014-07-28
Last Update Date2022-05-03
Business Address
JEREMY WADE ROSS PA
965 ELLENDALE DR
MEDFORD, OR 97504-8215
Phone number: 541-732-6000
Mailing Address
JEREMY WADE ROSS PA
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 541-732-7950