Individual
LAURA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 346-0640
(503) 494-4951
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 346-0640
(503) 494-4951
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
078051
GA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD219372
OR
2081P0010X
Pediatric Rehabilitation Medicine Physician
MD219372
OR
2081P0301X
Brain Injury Medicine (Physical Medicine & Rehabilitation) Physician
MD219372
OR
Other
Enumeration date
04/20/2011
Last updated
08/14/2024
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