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Individual

DR. JASON DALE MAUER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
707 SW WASHINGTON ST, SUITE 700, PORTLAND, OR 97205-3536
(503) 299-9906
(503) 225-9002
Mailing address
PO BOX 35147, #1801, SEATTLE, WA 98124-5147
(503) 299-9906
(503) 225-9002

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD24817
OR
207L00000X
Anesthesiology Physician
TEM-COV19-28913
IL
207LP2900X
Pain Medicine (Anesthesiology) Physician
G87132
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD24817
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500605316
OR
05
8537516
WA
01
P00884572
RR MEDICARE
OR
Enumeration date
05/03/2006
Last updated
01/25/2022
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