Provider Demographics
NPI:1821210956
Name:SILFLOW, JAMI RAE (DO)
Entity Type:Individual
Prefix:DR
First Name:JAMI
Middle Name:RAE
Last Name:SILFLOW
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:190 E BANNOCK ST
Mailing Address - Street 2:
Mailing Address - City:BOISE
Mailing Address - State:ID
Mailing Address - Zip Code:83712-6241
Mailing Address - Country:US
Mailing Address - Phone:208-381-8752
Mailing Address - Fax:503-413-3710
Practice Address - Street 1:1520 W STATE ST STE 100
Practice Address - Street 2:
Practice Address - City:BOISE
Practice Address - State:ID
Practice Address - Zip Code:83702-4084
Practice Address - Country:US
Practice Address - Phone:208-947-7700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2022-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORDO28296207Q00000X
IDO-1712207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR182120956OtherMEMBER NPI
ORP00661235OtherRR MEMBER PTAN
ORCF9670OtherRAILROAD MEDICARE
OR026214Medicaid
OR182120956OtherMEMBER NPI
ORP00661235OtherRR MEMBER PTAN