Individual
DR. JARED CORN
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) 418-0990
(503) 494-4982
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-0990
(503) 494-4982
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
22773
ND
2085R0202X
Diagnostic Radiology Physician
651443
TX
2085R0202X
Diagnostic Radiology Physician
Primary
MD203467
OR
2085R0202X
Diagnostic Radiology Physician
ME175681
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
651443
PHYSICIAN IN TRAINING PERMIT ID
TX
Enumeration date
05/29/2016
Last updated
04/03/2026
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