JACK HOWARD SIMON

PORTLAND, OR
NPI1083786024
Professional NameJACK HOWARD SIMON
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2085N0700X Radiology, Neuroradiology
(Licence: CO  23522)
Additional Taxonomies2085R0202X Radiology, Diagnostic Radiology
(Licence: CO  23522)
Enumeration Date2006-11-14
Last Update Date2007-07-08
Business Address
Dr. JACK HOWARD SIMON M.D.,Ph.D.
3710 SW VETERANS HOSPITAL RD PORTLAND VA MEDICAL CENTER
PORTLAND, OR 97207
Phone number: 303-819-2848
Mailing Address
Dr. JACK HOWARD SIMON M.D.,Ph.D.
PO BOX 3980
WILSONVILLE, OR 97070-1540
Phone number: 303-819-2848