Individual
DR. JEFFREY MORRIS ISRAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
720 SW HUME ST, PORTLAND, OR 97219-4475
(503) 849-5952
Mailing address
720 SW HUME ST, PORTLAND, OR 97219-4475
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
00034631
WA
207YS0123X
Facial Plastic Surgery Physician
Primary
10701
OR
Other
Enumeration date
08/22/2006
Last updated
01/04/2010
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