Individual
DR. JEFFREY LEE KATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
BEAVERTON MEDICAL OFFICE, 4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(971) 217-7506
Mailing address
12096 NW HALLBROOK LN, PORTLAND, OR 97229-8428
(503) 208-4116
(503) 213-6510
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
68370
MN
207Q00000X
Family Medicine Physician
MD24537
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227399
—
OR
01
—
P00061508
RR PIN
—
Enumeration date
05/16/2006
Last updated
02/26/2025
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