Individual
JORDI X KELLOGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9200 SE 91ST AVE, SUITE 340, PORTLAND, OR 97086-3756
(503) 256-1462
(503) 257-9523
Mailing address
9200 SE 91ST AVE, SUITE 340, PORTLAND, OR 97086-3756
(503) 256-1462
(503) 257-9523
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD22765
OR
Other
Enumeration date
06/14/2006
Last updated
03/20/2014
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