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Individual

MR. JASON JOHN POWERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3500 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 331-6170
Mailing address
3500 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 331-6170

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
MD00041062
WA
207RG0100X
Gastroenterology Physician
Primary
MD21215
OR

Other

Enumeration date
08/16/2006
Last updated
07/10/2007
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