Individual
MR. MARK S JONES
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
12661 SE POWELL BLVD, PORTLAND, OR 97236-3400
(503) 760-3214
(503) 760-5586
Mailing address
12661 SE POWELL BLVD, PORTLAND, OR 97236-3400
(503) 760-3214
(503) 760-5586
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6079
OR
Other
Enumeration date
09/23/2005
Last updated
07/08/2007
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