JEFF WAKEHAM
Specialist
Active
Individual
NPI: 1467631374
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist | 174400000X | Yes | - |
Frequently Asked Questions
NPI 1467631374 is the National Provider Identifier for JEFF WAKEHAM, a Specialist provider located in Gresham, OR. This NPI was enumerated on October 26, 2007.
JEFF WAKEHAM practices at 4101 NE DIVISION ST, SUITE # 100, Gresham, OR 97030.
Quick Facts
- NPI
- 1467631374
- Type
- Individual
- Enumerated
- Oct 26, 2007
- Last Updated
- Oct 26, 2007
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