Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | MD165663 | OR |
NPI | 1023246600 |
---|---|
Provider Name | Jeffrey R Frank |
First Address | Springfield, OR 97477-1347 |
Second Address | Springfield, OR 97477-9747 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2009 |
Last Update Date | 22/04/2021 |