Jerry Jeff Jaboin in Portland - Radiation Oncology
Jerry Jeff Jaboin - NPI 1578610382
Jerry Jeff Jaboin is a Radiation Oncology in Portland, Oregon. Jerry Jeff Jaboin practices all healthcare services and medical treatments related to Radiation Oncology. The NPI Number for Jerry Jeff Jaboin is 1578610382. The last update date is 2023-03-30.
Jerry Jeff Jaboin's current location address is 3181 Sw Sam Jackson Park Rd # L337, Portland, Oregon. You can contact this provider via phone number 5034948756. The mailing address for Jerry Jeff Jaboin is 3181 Sw Sam Jackson Park Rd # L337, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry Jeff Jaboin |
|---|---|
| Address | 3181 Sw Sam Jackson Park Rd # L337, Portland, Oregon |
| Phone Number | 5034948756 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1578610382 |
|---|---|
| Provider Enumeration Date | 2007-01-04 |
| Last Updated Date | 2023-03-30 |
Provider Mailing Address Detail
| Address | 3181 Sw Sam Jackson Park Rd # L337 |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972393011 |
| Phone Number | 5034948756 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Radiation Oncology |
|---|---|
| Taxonomy | 2085R0001X |
| Licence No | MD174329 |
|
Definition: A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1578610382 | MO | -- | |
| 431560263 | MO | TRICARE | |
| P01128079 | MO | RR MCR | |
| 195048001 | AR | -- |
Post Comment/ Review Below
What is the Jerry Jeff Jaboin's 1578610382?
The Jerry Jeff Jaboin's NPI (National Provider Identifier) Number is 1578610382. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jerry Jeff Jaboin is physically located?
The Jerry Jeff Jaboin is situated at the following address: 3181 Sw Sam Jackson Park Rd # L337, Portland, OR 972393011.
What is Jerry Jeff Jaboin's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jerry Jeff Jaboin is Radiation Oncology, and the taxonomy code that classifies this field of practice is 2085R0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1578610382 to Jerry Jeff Jaboin?
The Jerry Jeff Jaboin received its 1578610382 assignment from the Centers for Medicare & Medicaid Services on 2007-01-04.
When was the information pertaining to Jerry Jeff Jaboin most recently updated or revised?
The details related to Jerry Jeff Jaboin, including its address, specialty, and other relevant information, were last updated or revised on 2023-03-30.
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