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Individual

DR. JORGE ALBERTO PINEDA JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-4910
(503) 494-8368
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-4910
(503) 494-8368

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
MD27848
OR
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD27848
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
241599
OR
01
R140279
MEDICARE PIN
OR
Enumeration date
04/18/2007
Last updated
04/23/2015
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