Jason Christopher Kroening-roche M.D., M.P.H.

NPI 1649546839 - Family Medicine - 207Q00000X

NPI Details
NPI 1649546839
Gender Male
Enumeration Date 04/01/2012
Last Updated 05/11/2015
Entity Type Individual
Active Over 4 years ago
Practice Location
3181 SW SAM JACKSON PARK RD
PORTLAND OR, 97239-3011, US
Phone (503) 494-8211
Fax
Business Location
2209 SE 47TH AVE
PORTLAND OR, 97215-3805, US
Phone (503) 702-4363
Fax
Toxanomy
Taxonomy Code 207Q00000X
License State Oregon
License Number MD167038
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According to our database, Dr. Jason Christopher Kroening-roche M.D., M.P.H. NPI is 1649546839, taxonomy code is 207Q00000X and license number is MD167038, license state is located at Oregon. Jason Christopher Kroening-roche M.D., M.P.H. physically located at 3181 Sw Sam Jackson Park Rd, Portland OR, 97239-3011. NPI Number Jason Christopher Kroening-roche M.D., M.P.H. has the Individual type.

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1649546839 NPI number is provided on an as is basis without warranty of any kind. 1649546839 is maintained by the National Plan & Provider Enumeration System. The contents of Jason Christopher Kroening-roche M.D., M.P.H. are for informational purposes only.