Most Relevant Information
Provider Data
NPI Number: | 1003071580 |
Provider Name: | JORDAN MARIE RAYMER M.D. |
Entity Type: | Individual |
Taxonomy Code: | 208600000X |
Specialty: | Surgery |
License Number: | 128828 |
Most Important Dates
Enumeration Date: | 07/23/2008 |
Last Updated: | 12/31/2018 |
Provider Practice Location
330 9TH ST
FLORENCE
OR
974399470
Practice Location Phone/Fax
Phone: | 5419972820 |
Fax: | 5419977197 |
Provider Mailing Location
847 NE 19TH AVE STE 300
PORTLAND
OR
972322686
Provider Mailing Phone/Fax
Phone: | 5039632801 |
Fax: | 5039632825 |
Suggested EMR
Surgeon EMR