Loo, Jon Warren

Loo, Jon Warren is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd L605, Portland OR 97239-3011. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Loo, Jon Warren can be contacted via phone (503) 494-7660.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd L605 Portland OR 97239-3011
Phone: (503) 494-7660
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A123551 California
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X PG167394 Oregon

Profile Details

NPI number 1871755017
LBN Legal business name Loo, Jon Warren
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2008
Last updated Sep 9th, 2014 - about 10 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 1871755017 NPPES
California MEDICAID 0A1235510

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