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Individual

DR. JARED PETER AUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5700
(503) 494-4953
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5700
(503) 494-4953

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
103012
MN
208000000X
Pediatrics Physician
152064
OR
208000000X
Pediatrics Physician
49919
MN
208000000X
Pediatrics Physician
Primary
MD152064
OR

Other

Enumeration date
05/31/2007
Last updated
10/14/2021
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