Individual
KENRICK ANTHONY JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3550 N INTERSTATE AVE, EAST INTERSTATE MEDICAL OFFICE, PORTLAND, OR 97227-1196
(503) 285-9321
Mailing address
3550 N INTERSTATE AVE, EAST INTERSTATE MEDICAL OFFICE, PORTLAND, OR 97227-1196
(503) 285-9321
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OR MD20124
OR
Other
Enumeration date
10/10/2006
Last updated
06/09/2008
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