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Search › Oregon › 363A00000X

Jeremy Waldie, PA-C

NPI 1043546534 · on the registry since 2009

Practice

Address
374 Owens St Se
Salem, OR 97302
Phone
(503) 399-1400
Fax
(503) 399-1406
Organisation at this address
Clinicops, Llc
Vida Family Medicine
Vida Family Medicine, Llc
Maansi Family Health Center
Groundswell Integrative Healthcare Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
363A00000X
363A00000X
Also registered as
363AM0700X
Licence states on file
OR, WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-02-13

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