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Individual

JACK EVERETT DOWNHILL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3031 S DENISON AVE, SAN PEDRO, CA 90731-6703
(323) 379-3611
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-6176
(503) 494-6152

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
198053
NY
2084P0800X
Psychiatry Physician
Primary
A50066
CA
2084P0800X
Psychiatry Physician
MD180816
OR

Other

Enumeration date
11/09/2006
Last updated
09/08/2020
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