DERRICK MICHAEL JONES

PORTLAND, OR
NPI1033759212
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: OR  PA196333)
Enumeration Date2020-01-15
Last Update Date2020-01-15
Business Address
DERRICK MICHAEL JONES PA-C
12710 SE DIVISION ST
PORTLAND, OR 97236-3134
Phone number: 503-988-3601
Mailing Address
DERRICK MICHAEL JONES PA-C
9701 SE JOHNSON CREEK BLVD APT B208
HAPPY VALLEY, OR 97086-3671
Phone number: 918-859-7819
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