Provider Demographics
NPI:1588769772
Name:JAMES, JIM A (MD)
Entity type:Individual
Prefix:DR
First Name:JIM
Middle Name:A
Last Name:JAMES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 SE STRATUS AVE
Mailing Address - Street 2:SUITE 304
Mailing Address - City:MCMINNVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97128-8872
Mailing Address - Country:US
Mailing Address - Phone:503-474-2722
Mailing Address - Fax:503-474-3306
Practice Address - Street 1:2700 SE STRATUS AVE
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:OR
Practice Address - Zip Code:97128-8872
Practice Address - Country:US
Practice Address - Phone:503-474-2722
Practice Address - Fax:503-474-3306
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2011-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD1522192084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology