Jan, Jay C. P.

Jan, Jay C. P. is an individual health care provider with primary practice located at 1130 Nw 22Nd Ave Suite 500, Portland OR 97210-2900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Jan, Jay C. P. can be contacted via phone (503) 413-5725.

Contact Information

Primary practice address
1130 Nw 22Nd Ave Suite 500 Portland OR 97210-2900
Phone: (503) 413-5725
Fax: (503) 413-5726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD24533 Oregon
Allopathic & Osteopathic Physicians / Surgery 208600000X MD00047700 Washington

Profile Details

NPI number 1417949926
LBN Legal business name Jan, Jay C. P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Mar 19th, 2013 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417949926 NPPES
Oregon MEDICAID 227380
Oregon MEDICAID 8376584

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