Dr Jeffrey S Humphrey, DO | |
1000 Se Uglow Ave, Dallas, OR 97338-2645 | |
(503) 623-8376 | |
(503) 623-5293 |
Full Name | Dr Jeffrey S Humphrey |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 1000 Se Uglow Ave, Dallas, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740253103 | NPI | - | NPPES |
1164780060 | Other | OR | LOCATION NPI |
149096 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | DO15134 (Oregon) | Primary |
Entity Name | Salem Health |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265431829 PECOS PAC ID: 8628986668 Enrollment ID: O20040309001131 |
Mailing Address | Practice Location Address |
---|---|
Dr Jeffrey S Humphrey, DO 1000 Se Uglow Ave, Dallas, OR 97338-2645 Ph: (503) 623-8376 | Dr Jeffrey S Humphrey, DO 1000 Se Uglow Ave, Dallas, OR 97338-2645 Ph: (503) 623-8376 |
Charles Phillip Essex, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 531 Se Clay St, Dallas, OR 97338 Phone: 971-612-6100 Fax: 971-612-6101 | |
Dr. William Daniel Peffley, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 607 Se Jefferson St, Dallas, OR 97338 Phone: 503-623-1200 Fax: 503-623-1414 | |
Dr. William Matthew Lucas, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 607 Se Jefferson St, Dallas, OR 97338 Phone: 503-623-1200 Fax: 503-623-1414 | |
Mr. Gayle Ray Wilson, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 289 E Ellendale, Suite 503, Dallas, OR 97338 Phone: 503-623-8826 Fax: 503-623-8739 | |
Stephen John Chaffee, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 641 Se Miller Ave, Dallas, OR 97338 Phone: 503-623-2345 Fax: 503-623-6071 | |
Dr. Tom L Flaming, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1000 Se Uglow Ave, Dallas, OR 97338 Phone: 503-623-8376 Fax: 503-623-5293 | |
John C Hadley, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 525 Se Washington St, Dallas, OR 97338 Phone: 503-623-8301 Fax: 503-623-7337 |