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Contact Information

JERI ELAM
29845 AIRPORT WAY
GOLD BEACH , OR97444
 Phone: 877-408-8941
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Other Service Providers

175T00000X
Indicates primary specialty

NPI Profile & details for JERI ELAM · (Female)

NPI Number 1912680927
Status Active
Credentials
Entity Individual
Enumeration date 08/08/2023
Last updated 08/08/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
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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