Individual
JACKSON JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-3076
(503) 494-8311
Mailing address
3455 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-3076
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
202001154RN
OR
Other
Enumeration date
07/01/2024
Last updated
07/01/2024
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