Individual
JONATHAN LESERMAN ROBBINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.S.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE L475, PORTLAND, OR 97239-3011
(503) 494-6551
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE L475, PORTLAND, OR 97239-3011
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD179436
OR
207R00000X
Internal Medicine Physician
MT204883
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/30/2013
Last updated
08/10/2016
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