Individual
JOEL LOREN SIMASKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 669-3900
(503) 669-3998
Mailing address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 669-3900
(503) 669-3998
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD 4679
HI
207R00000X
Internal Medicine Physician
Primary
OR MD22631
OR
Other
Enumeration date
09/12/2006
Last updated
07/11/2007
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