Individual
JEFFREY MARK LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4119 SE BYBEE BLVD, PORTLAND, OR 97202-7743
(203) 451-3570
(503) 241-2367
Mailing address
4119 SE BYBEE BLVD, PORTLAND, OR 97202-7743
(203) 451-3570
(503) 241-2367
Taxonomy
Speciality
Code
Description
License number
State
2084P0015X
Psychosomatic Medicine Physician
219434
NY
2084P0800X
Psychiatry Physician
33024
CT
2084P0800X
Psychiatry Physician
45810
MA
2084P0800X
Psychiatry Physician
G153499
CA
2084P0800X
Psychiatry Physician
Primary
MD195476
OR
Other
Enumeration date
10/06/2006
Last updated
09/21/2023
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