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NPI Code Detail

MEDICARE: JEREMIAH C. MURPHY, M.D., PC

MEDICARE: JEREMIAH C. MURPHY, M.D., PC
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
1208800000XUrology PhysicianMD25718OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609233824
Entity Type Code : Organization
Provider Name (Legal Business Name) : JEREMIAH C. MURPHY, M.D., PC
Provider Business Mailing Address
First Line : 19260 SW 65TH AVE STE 400
Second Line :
City : TUALATIN
State : OR
Zip : 97062-5712
Country : US
Telephone Number : 503-692-1200
Fax Number : 503-692-1220
Provider Business Practice Location Address
First Line : 19260 SW 65TH AVE STE 400
Second Line :
City : TUALATIN
State : OR
Zip : 97062-5712
Country : US
Telephone Number : 503-692-1200
Fax Number : 503-692-1220
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : JEREMIAH MURPHY
Credential : M.D.
Telephone Number : 503-692-1200
Provider Enumeration Date : 01/19/2016
Last Update Date : 01/19/2016

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