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Individual

DR. JOHN W JENDRZEJEWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9701 SW BARNES RD, STE 300, PORTLAND, OR 97225-6689
(503) 297-8081
(503) 292-6601
Mailing address
9701 SW BARNES RD, STE 300, PORTLAND, OR 97225-6689
(503) 297-8081
(503) 292-6601

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD09971
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
042143
OR
Enumeration date
06/27/2005
Last updated
01/15/2008
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