Jeff David Mudrick M.D.

NPI 1669592697 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1669592697
Gender Male
Enumeration Date 03/31/2007
Last Updated 01/14/2016
Entity Type Individual
Active Over 9 years ago
Practice Location
1925 NW AMBERGLEN PKWY
SUITE 300
HILLSBORO OR, 97006-6945, US
Phone (503) 906-5042
Fax
Business Location
1925 NW AMBERGLEN PKWY
SUITE 300
HILLSBORO OR, 97006-6945, US
Phone (503) 906-5042
Fax (785) 323-6712
Toxanomy
Taxonomy Code 2084P0800X
License State Kansas
License Number 04-33881
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According to our database, Dr. Jeff David Mudrick M.D. NPI is 1669592697, taxonomy code is 2084P0800X and license number is 04-33881, license state is located at Kansas. Jeff David Mudrick M.D. physically located at 1925 Nw Amberglen Pkwy, Hillsboro OR, 97006-6945. NPI Number Jeff David Mudrick M.D. has the Individual type.

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1669592697 NPI number is provided on an as is basis without warranty of any kind. 1669592697 is maintained by the National Plan & Provider Enumeration System. The contents of Jeff David Mudrick M.D. are for informational purposes only.