Individual
JERRIS ROBERT HEDGES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS, MMM
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, # L-102, PORTLAND, OR 97239-3011
(503) 494-2767
Mailing address
5 CELLINI COURT, LAKE OSWEGO, OR 97035
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
15881
OR
Other
Enumeration date
05/31/2005
Last updated
07/08/2007
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