Individual
DR. JOHN FREDERIC MISSION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 N GRAHAM ST STE 100, PORTLAND, OR 97227-1667
(503) 413-1122
(503) 413-4238
Mailing address
3181 SW SAM JACKSON PARK ROAD, OHSU, PORTLAND, OR 97239-3011
(503) 494-8211
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD181148
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/03/2010
Last updated
07/21/2022
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