Individual
NIKOLAS A. 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) 413-4121
Mailing address
1509 SW CAPITOL HWY, #502, PORTLAND, OR 97239-2690
(503) 464-9034
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
MD25684
OR
Other
Enumeration date
06/08/2006
Last updated
03/18/2021
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