Provider Demographics
NPI:1942264213
Name:HIGH, JERE (ND)
Entity Type:Individual
Prefix:DR
First Name:JERE
Middle Name:
Last Name:HIGH
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 SW YAMHILL ST
Mailing Address - Street 2:STE 300
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97204-3024
Mailing Address - Country:US
Mailing Address - Phone:503-228-8852
Mailing Address - Fax:503-228-9887
Practice Address - Street 1:110 SW YAMHILL ST
Practice Address - Street 2:STE 300
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97204-3024
Practice Address - Country:US
Practice Address - Phone:503-228-8852
Practice Address - Fax:503-228-9887
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR1037175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath