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Contact Information

JAMIE D CONKLIN, MD
2500 NE NEFF RD
BEND, OR97701-6015
 Phone: 541-706-7715
 Fax: 541-598-3492
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
 

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JAMIE D CONKLIN · (Male)

NPI # 1467640961
Status Active
Credentials MD
Entity Individual
Enumeration date 10/09/2007
Last updated 11/10/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 01083135A
  • OR License # MD153265
  • UT License # 6353674-1205
  • WA License # MD60807243
  • OR Medicaid 500641194
Hospital affiliation(s)
  • PROVIDENCE MEDFORD MEDICAL CENTER - (Acute Care)
    1111 CRATER LAKE AVENUE
    MEDFORD, OR 97504
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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