Crist, Jonathan Clark

Crist, Jonathan Clark is an individual health care provider with primary practice located at 9250 Sw Hall Blvd , Tigard OR 97223-6721. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Crist, Jonathan Clark can be contacted via phone (503) 293-0161.

Contact Information

Primary practice address
9250 Sw Hall Blvd Tigard OR 97223-6721
Phone: (503) 293-0161
Fax: (503) 297-9357
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 6604923-8905 Utah
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X MD28274 Oregon

Profile Details

NPI number 1134252851
LBN Legal business name Crist, Jonathan Clark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Nov 6th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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