Individual
DR. JASON JOHN HEINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO178199
OR
207R00000X
Internal Medicine Physician
PG163140
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PG163140
OREGON MEDICAL LICENSE
OR
Enumeration date
06/05/2013
Last updated
03/15/2021
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