Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RR0500X | Rheumatology | MD00032899 | WA |
Y | 207RR0500X | Rheumatology | MD19451 | OR |
NPI | 1063532422 |
---|---|
Provider Name | Dr. Lee Anna Jones |
First Address | Portland, OR 97229-9139 |
Second Address | Portland, OR 97227-1196 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/03/2007 |
Last Update Date | 04/02/2022 |