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1033759212
DERRICK MICHAEL JONES
PORTLAND, OR
NPI
1033759212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: OR PA196333)
Enumeration Date
2020-01-15
Last Update Date
2020-01-15
Business Address
DERRICK MICHAEL JONES PA-C
12710 SE DIVISION ST
PORTLAND, OR 97236-3134
Phone number: 503-988-3601
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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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