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Individual

VESNA A JOVANOVIC

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
700 NE MULTNOMAH ST, SUITE 400, PORTLAND, OR 97232-2131
(503) 292-9560
(503) 292-9510
Mailing address
9450 SW BARNES RD, SUITE 100, PORTLAND, OR 97225-6619
(503) 292-9560
(503) 292-9510

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD23109
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
287016
OR
Enumeration date
04/21/2006
Last updated
02/17/2015
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