Individual
JODY LYNN KUJOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
265 N BROADWAY ST, PORTLAND, OR 97227-1800
(503) 280-1223
(503) 528-5252
Mailing address
265 N BROADWAY ST, PORTLAND, OR 97227-1800
(503) 280-1223
(503) 528-5252
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD19371
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1023487
—
WA
05
—
150201
—
OR
Enumeration date
03/20/2006
Last updated
03/26/2010
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