Jordan Ehrlich

NPI #1689915753 in Myrtle Point, Oregon

Provider Information

NPI Number: 1689915753
Entity Type: Individual
Name: Jordan Ehrlich
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Mar 13, 2013
Last Updated: Nov 7, 2014

Practice Location

Address: 324 4TH ST
City: Myrtle Point
State: Oregon
ZIP Code: 97458-1066
Phone: (541) 572-2111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X
Physician Assistant	363A00000X	Primary

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