Jerald Edward Albrich, M.D.

Individual provider Active NPI Radiation Oncology Physician · Canby, OR

NPI 1952467607 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1952467607
Entity type
Individual (NPI type 1)
Primary specialty
Radiation Oncology Physician 2085R0001X
License
MD07193 (OR)
Practice address
2389 N Maple St
Canby, OR 97013-2106
Phone
(503) 651-3531
Fax
(503) 651-3531
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X MD07193 OR Yes

Addresses

Primary practice location

2389 N Maple St
Canby, OR 97013-2106

Mailing address

2389 N Maple St
Canby, OR 97013-2106
Phone (503) 651-3531

Other identifiers

IdentifierTypeStateIssuer
MD07193OtherORLICENSE

Other providers in Canby, OR

All providers in Canby, OR · Radiation Oncology Physician in Oregon

Sources for this page

Verify at the official NPI Registry.