DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. JEREMY RIDDLE, RH

Active Sole Proprietor

DR. JEREMY RIDDLE, RH is a 374K00000X healthcare provider located in GLADSTONE, Oregon. NPI 1811535834 is currently active in the NPPES registry. Verify at CMS.

374K00000X · GLADSTONE, OR

Registration Details

NPI Number
1811535834
Provider Type
Individual
Gender
Male
NPI Issued
Dec 20, 2019 (6.6820712020728 yrs)
Last Updated
Dec 20, 2019
Sole Proprietor
Yes

Practice Information

Address
455 PORTLAND AVE
GLADSTONE, OR, 970272452
Browse OR providers · Browse ZIP 97027
Phone
9714046452
Primary Specialty
374K00000X
374K00000X
Additional Specialty
Pastoral Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.