Individual
JASON MANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD,MPH
Contact information
Practice address
3600 N INTERSTATE AVE, PORTLAND, OR 97227-1106
(503) 285-9321
Mailing address
2331 NW ASPEN AVE, PORTLAND, OR 97210-1220
(503) 227-8635
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
OR MD22391
OR
207RH0003X
Hematology & Oncology Physician
WA MD00038491
WA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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