Individual
JERRY PENG JIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8311
Mailing address
3181 SW SAM JACKSON PARK RD # L-579, PORTLAND, OR 97239-3011
(503) 494-8311
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD209172
OR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
06/30/2020
Last updated
06/18/2025
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