Individual
LUCIAN RUSTIN JONES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 372-2740
Mailing address
PO BOX 4008, PORTLAND, OR 97208-4008
(503) 372-2740
(503) 372-2754
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD25683
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213401
—
OR
Enumeration date
06/08/2006
Last updated
07/08/2007
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