Individual
MS. LISA MARGARET JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
500 N COLUMBIA RIVER HWY, SUITE 6, SAINT HELENS, OR 97051-1299
(503) 397-0471
Mailing address
PO BOX 4399, PORTLAND, OR 97208-4399
(503) 397-0471
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA152706
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PA152706
OR LICENSE
OR
Enumeration date
11/01/2010
Last updated
11/01/2010
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