Jack Kron
Internist - Cardiovascular Disease Clinical Cardiac Electrophysiologist
1040 Nw 22nd Ave, Suite 660
Portland
, Oregon 97210
Jack Kron
Internist - Cardiovascular Disease Clinical Cardiac Electrophysiologist
1040 Nw 22nd Ave, Suite 660
Portland
, Oregon 97210
(503) 413-3710
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About
Features
Specialties
- Internist - Cardiovascular Disease
- Clinical Cardiac Electrophysiologist
Languages spoken
- English
Location
First Address
- Jack Kron
- Po Box 3777
- Portland, OR
- Zip : 97208-3777
- Fax : (503) 413-3710
- Phone : (503) 413-3900
Second Address
- Jack Kron
- 1040 Nw 22nd Ave, Suite 660
- Portland, OR
- Zip : 97210
- Fax : (503) 413-7148
- Phone : (503) 413-7162
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RC0000X | Internist - Cardiovascular Disease | MD11799 | OR |
| Y | 207RC0001X | Clinical Cardiac Electrophysiologist | MD11799 | OR |
National Provider Identifier
| NPI | 1124036678 |
|---|---|
| Provider Name | Jack Kron |
| First Address | Portland, OR 97208-3777 |
| Second Address | Portland, OR 97210 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/08/2006 |
| Last Update Date | 01/02/2017 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 244673 | (05) | OR |
| C93086 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.