Individual
JERMAINE MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
13390 NW HOGAN ST, PORTLAND, OR 97229-4577
(971) 277-8501
Mailing address
13390 NW HOGAN ST, PORTLAND, OR 97229-4577
(971) 277-8501
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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