Individual
DR. JOSHUA DYLAN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-2200
Mailing address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-2200
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
106945
MN
207R00000X
Internal Medicine Physician
Primary
56939
MN
208M00000X
Hospitalist Physician
167264
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
IA
05
—
ENROLLED
—
MN
Enumeration date
07/26/2008
Last updated
11/07/2014
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