Individual
MR. THATCHER MAC JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1200 NW 23RD AVE, PORTLAND, OR 97210-2906
(541) 944-5462
Mailing address
1200 NW 23RD AVE, PORTLAND, OR 97210-2906
(541) 944-5462
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD177828
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2013
Last updated
03/30/2020
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