SearchOregon101YM0800X

Jeremy Archibald, MH INTERN

NPI 1013289578 · on the registry since 2012 · sole proprietor

Practice

Address
3867 Wolverine St Ne Bldg F
Salem, OR 97305
Phone
(503) 588-5352
Clinicians at this address
17

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-06-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon