Individual
JONE ELIZABETH SAMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-5516
Mailing address
15920 OSWEGO SHORE CT, LAKE OSWEGO, OR 97034-3617
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
MD19185
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069141
—
OR
Enumeration date
08/03/2006
Last updated
09/01/2015
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