Individual
MS. GINA L JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2900 DOCTORS PARK DR, STE 200, MEDFORD, OR 97504-8198
(541) 282-2200
(541) 245-6049
Mailing address
2900 DOCTORS PARK DR, STE 200, MEDFORD, OR 97504-8198
(541) 282-2200
(541) 245-6049
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
PA01039
OR
363AM0700X
Medical Physician Assistant
PA01039
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022868
—
OR
Enumeration date
04/06/2006
Last updated
08/28/2012
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