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1679260558 NPI number — JEFFREY LOREN WARD DO

NPI Number: 1679260558
Health Care Provider/Practitioner: JEFFREY LOREN WARD DO

Information about “1679260558” NPI (JEFFREY LOREN WARD DO) exists in 1679260558 in HTML format HTML  |  1679260558 in plain Text format TXT  |  1679260558 in PDF (Portable Document Format) PDF  |  1679260558 in an XML format XML  formats.

NPI Number : 1679260558 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1679260558",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WARD",
    "FirstName": "JEFFREY",
    "MiddleName": "LOREN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DO",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "WARD",
    "OtherFirstName": "JEFF",
    "OtherMiddleName": "LOREN",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "DO",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "825 SE BISHOP BLVD STE 401",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PULLMAN",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "99163-5517",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "509-336-7720",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "825 SE BISHOP BLVD STE 401",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PULLMAN",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "99163-5517",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "509-336-7720",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/20/2023",
    "LastUpdateDate": "08/05/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "OL61446543",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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