Individual
JOCELYN A SEGALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
MT TALBERT MEDICAL OFFICE, 10100 SE SUNNYSIDE ROAD, CLACKAMAS, OR 97015
(503) 652-2880
Mailing address
922 NW 11TH AVE, #915, PORTLAND, OR 97209-2776
(503) 227-9167
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD26224
OR
2086S0129X
Vascular Surgery Physician
MD26224
OR
Other
Enumeration date
05/01/2007
Last updated
07/10/2007
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