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NPI Code Detail

MEDICARE: DR. JEFFREY MICHAEL STORRS D.O.

MEDICARE: DR. JEFFREY MICHAEL STORRS D.O.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine Physician5101018014MI
2207Q00000XFamily Medicine PhysicianDO204583OR

General Provider Information

NPI Number : 1033368097
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JEFFREY MICHAEL STORRS D.O.
Provider Business Mailing Address
First Line : PO BOX 2847
Second Line :
City : CORVALLIS
State : OR
Zip : 97339-2847
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 531 N HIGHWAY 101 STE A
Second Line :
City : DEPOE BAY
State : OR
Zip : 97341-9572
Country : US
Telephone Number : 541-765-3265
Fax Number : 541-765-3260
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2008
Last Update Date : 07/19/2021

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