Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | G33623 | CA |
Y | 208000000X | Pediatrician | MD27487 | OR |
N | 208000000X | Pediatrician | VL 145 | SC |
N | 2080P0201X | Pediatric Allergist | G33623 | CA |
N | 2080P0201X | Pediatric Allergist | MD27487 | OR |
N | 2080P0208X | Pediatric Infectious Diseases | G33623 | CA |
N | 2080P0208X | Pediatric Infectious Diseases | MD27487 | OR |
N | 2080P0208X | Pediatric Infectious Diseases | VL 145 | SC |
NPI | 1568605103 |
---|---|
Provider Name | Dr. Janine Jason |
First Address | Port Orford, OR 97465-9528 |
Second Address | Port Orford, OR 97465-9528 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2009 |
Last Update Date | 13/04/2009 |