Individual
ERIC IVERSEN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1040 NW 22ND AVE, SUITE 168, PORTLAND, OR 97210
(503) 413-7022
(503) 413-7006
Mailing address
1040 NW 22ND AVE, SUITE 168, PORTLAND, OR 97210
(503) 413-7022
(503) 413-7006
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD24003
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000564
—
OR
Enumeration date
08/02/2006
Last updated
07/08/2007
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