Provider Demographics
NPI:1477533966
Name:ALBRIGHT, JEFFREYS D (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFREYS
Middle Name:D
Last Name:ALBRIGHT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24076 SE STARK
Mailing Address - Street 2:SUITE 110
Mailing Address - City:GRESHAM
Mailing Address - State:OR
Mailing Address - Zip Code:97030
Mailing Address - Country:US
Mailing Address - Phone:503-661-5388
Mailing Address - Fax:503-666-9393
Practice Address - Street 1:24076 SE STARK
Practice Address - Street 2:SUITE 110
Practice Address - City:GRESHAM
Practice Address - State:OR
Practice Address - Zip Code:97030
Practice Address - Country:US
Practice Address - Phone:503-661-5388
Practice Address - Fax:503-666-9393
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD21248207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
118963Medicare ID - Type Unspecified
G75901Medicare UPIN