Individual
JACK KRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1040 NW 22ND AVE, SUITE 660, PORTLAND, OR 97210
(503) 413-7162
(503) 413-7148
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
MD11799
OR
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
MD11799
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
244673
—
OR
Enumeration date
08/03/2006
Last updated
02/01/2017
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