Search › Oregon › 363LF0000X
Jeremiah Eldred, APRN
NPI 1700016698 · on the registry since 2009 · sole proprietor
Practice
- Address
- 1350 Ne 122nd Ave
Portland, OR 97230 - Phone
- (503) 408-7008
- Fax
- (503) 408-7045
- Clinicians at this address
- 23
Additional practice sites
- 831 Nw Council Dr Ste 145, Gresham, OR
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Also registered as
- 363LF0000X
- Licence states on file
- MT, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-03-31
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