JERMAINE FOSTER

PORTLAND, OR
NPI1417925199
Other NameJERMAINE FOSTER
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207P00000X Emergency Medicine
(Licence: OR  PG206894)
Additional Taxonomies363A00000X Physician Assistant
(Licence: FL  PA9103025)
Enumeration Date2006-03-09
Last Update Date2022-03-01
Business Address
JERMAINE FOSTER MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8211
Mailing Address
JERMAINE FOSTER MD
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8211