Individual
DR. JAY DAVID EISENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1010 SW MITCHELL ST, PORTLAND, OR 97239-2810
(503) 246-2803
Mailing address
1010 SW MITCHELL ST, PORTLAND, OR 97239-2810
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
MD11800
OR
Other
Enumeration date
06/07/2007
Last updated
07/08/2007
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