Individual
DR. JEFFREY C DART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 E 33RD ST, #100, VANCOUVER, WA 98663-2776
(360) 514-7550
Mailing address
PO BOX 22075, MILWAUKIE, OR 97269-2075
(503) 659-4988
(503) 659-4730
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD188398
OR
207QS0010X
Sports Medicine (Family Medicine) Physician
MD188398
OR
Other
Enumeration date
07/09/2014
Last updated
08/08/2018
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