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Jeff Wakeham
Specialist in Gresham, Oregon
NPI 1467631374

Jeff Wakeham is a Specialist based in Gladstone, OR. Jeff Wakeham practices in Gresham, OR. The NPI Number for Jeff Wakeham is 1467631374 and holds a License No. (Oregon).

The current practice location address for Jeff Wakeham is 4101 Ne Division St, Gresham, OR and can be reached out via phone at 503-666-3808 and via fax at 503-666-6835.

Location: 4101 Ne Division St, Gresham, OR, 97027-1259
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467631374
Provider Name
Jeff Wakeham
Credential
Provider Entity Type
Individual
Gender
Male
Address
4101 Ne Division St, Gresham, OR, 97027-1259
Phone Number
503-666-3808
Fax Number
503-666-6835
Provider Enumeration Date
10/26/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4101 Ne Division St
City
Gresham
State
Oregon
Zip
97030-4617
Phone Number
503-666-3808
Fax Number
503-666-6835
person
Provider Business Mailing Address Details
Address
4101 Ne Division St
City
Gresham
State
Oregon
Zip
97030-4617
Phone Number
503-666-3808
Fax Number
503-666-6835
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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