Individual
JASON LOERA
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
(619) 204-0647
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(619) 204-0647
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
PG163294
OR
Other
Enumeration date
04/14/2013
Last updated
10/01/2013
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