Individual
MR. JASON KARL HYDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
202 NW 20TH AVE, PORTLAND, OR 97209-1907
(503) 274-7128
(503) 241-5037
Mailing address
PO BOX 4207, PORTLAND, OR 97208-4207
(503) 413-6121
(503) 241-5037
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
55950
OR
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
MD00046624
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8536674
—
WA
Enumeration date
05/09/2006
Last updated
09/02/2009
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