Jared Grant, is a
Student In An Organized Health Care Education/training Program based in Lebanon, Oregon. Jared Grant is licensed to practice in NU (license number ) and his current practice location is
200 Mullins Dr, Lebanon, Oregon. He can be reached at his office (for appointments etc.) via phone at
(541) 259-0235.
NPI number for Jared Grant is 1083183230 and his current mailing address is 200 Mullins Dr, Lebanon, Oregon. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1083183230.
Healthcare Provider's Profile
| Full Name | Jared Grant |
|---|
| Gender | Male |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 200 Mullins Dr, Lebanon, Oregon |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1083183230
- Provider Enumeration Date: 11/16/2018
- Last Update Date: 12/13/2020
Medical Identifiers
Medical identifiers for Jared Grant such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1083183230 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (NU) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (NU) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jared Grant is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Jared Grant, 200 Mullins Dr, Lebanon, OR 97355-3983 Ph: (541) 259-0235 | Jared Grant, 200 Mullins Dr, Lebanon, OR 97355-3983 Ph: (541) 259-0235 |
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