Individual
DR. JAY GORDON BETTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10365 SE SUNNYSIDE RD, SUITE 150, CLACKAMAS, OR 97015-5741
(503) 698-2300
(503) 698-2308
Mailing address
10365 SE SUNNYSIDE RD, SUITE 150, CLACKAMAS, OR 97015-5741
(503) 698-2300
(503) 698-2308
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
DO07540
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
067231
—
OR
Enumeration date
10/27/2006
Last updated
07/08/2007
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