Jack Howard Simon M.D.,PH.D.

NPI 1083786024 - Radiology - 2085N0700X

NPI Details
NPI 1083786024
Gender Male
Enumeration Date 11/14/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3710 SW VETERANS HOSPITAL RD
PORTLAND VA MEDICAL CENTER
PORTLAND OR, 97207, US
Phone (303) 819-2848
Fax
Business Location
PO BOX 3980
WILSONVILLE OR, 97070-1540, US
Phone (303) 819-2848
Fax
Toxanomy
Taxonomy Code 2085N0700X
License State Colorado
License Number 23522
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According to our database, Dr. Jack Howard Simon M.D.,PH.D. NPI is 1083786024, taxonomy code is 2085N0700X and license number is 23522, license state is located at Colorado. Jack Howard Simon M.D.,PH.D. physically located at 3710 Sw Veterans Hospital Rd, Portland OR, 97207. NPI Number Jack Howard Simon M.D.,PH.D. has the Individual type.

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1083786024 NPI number is provided on an as is basis without warranty of any kind. 1083786024 is maintained by the National Plan & Provider Enumeration System. The contents of Jack Howard Simon M.D.,PH.D. are for informational purposes only.