Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jeff Wakeham

Individual provider Specialist · NPI 1467631374

Jeff Wakeham is a Specialist in Gresham, Oregon. Registered with an NPI since 2007.

In the registry since
2007

Practice location Address checks out

4101 NE Division St Ste # 100
Gresham, OR 97030-4617
Phone: (503) 666-3808
Fax: (503) 666-6835
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1467631374
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 26, 2007
Last updated in NPPESOctober 26, 2007

Other providers in Gresham