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Organization

PORTLAND GYNECOLOGIC ONCOLOGY, PC

Active
Parent organization
PORTLAND GYNECOLOGIC ONCOLOGY, PC
Other names
JANA M. REDDOCH,MD
Organization subpart
Yes

Provider details

NPI number
Legal business name
PORTLAND GYNECOLOGIC ONCOLOGY, PC
Authorized official
JANA MARIE REDDOCH (MD)
(503) 297-8700
Entity
Organization

Contact information

Practice address
9155 SW BARNES RD STE 416, PORTLAND, OR 97225-6631
(503) 297-8700
(503) 297-2201
Mailing address
9155 SW BARNES RD STE 416, PORTLAND, OR 97225-6631
(503) 297-8700
(503) 297-2201

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16638
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
024660
OR
01
069021000
BC/BS OREGON
OR
Enumeration date
12/08/2010
Last updated
12/08/2010
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