Individual
JORDAN FEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2222 NW LOVEJOY ST, SUITE 411, PORTLAND, OR 97210-3033
(503) 413-5702
(503) 413-6499
Mailing address
2222 NW LOVEJOY ST, SUITE 411, PORTLAND, OR 97210-3033
(503) 413-5702
(503) 413-6499
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A92368
CA
207R00000X
Internal Medicine Physician
MD150990
OR
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
A92368
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD150990
OR
207RP1001X
Pulmonary Disease Physician
A92368
CA
207RP1001X
Pulmonary Disease Physician
Primary
MD150990
OR
Other
Enumeration date
12/12/2005
Last updated
02/07/2011
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