Individual
JOSE MANUEL NEGRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1321 NE 99TH AVE, SUITE 200, PORTLAND, OR 97220-9436
(503) 215-4250
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
49619
WI
207Q00000X
Family Medicine Physician
Primary
MD172848
OR
207Q00000X
Family Medicine Physician
MD2012-0883
NM
Other
Enumeration date
09/28/2006
Last updated
03/22/2021
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