Individual
DR. JASON JOHN HEINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
5050 NE HOYT ST STE 540, PORTLAND, OR 97213-2985
(503) 215-6600
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
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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