Individual
DR. JEFFREY AARON KOMISAROF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10201 SE MAIN ST, SUITE 27, PORTLAND, OR 97216-2937
(503) 256-0877
(503) 256-4188
Mailing address
10201 SE MAIN ST, SUITE 27, PORTLAND, OR 97216-2937
(503) 256-0877
(503) 256-4188
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD26611
OR
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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