Mason, Julia W

Mason, Julia W is an individual health care provider with primary practice located at 24850 Se Stark St Suite 150, Gresham OR 97030-8316. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Mason, Julia W can be contacted via phone (503) 491-0714.

Contact Information

Primary practice address
24850 Se Stark St Suite 150 Gresham OR 97030-8316
Phone: (503) 491-0714
Fax: (503) 674-2834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 163455 Oregon

Profile Details

NPI number 1164426110
LBN Legal business name Mason, Julia W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2005
Last updated Mar 8th, 2016 - about 8 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 1164426110 NPPES
Oregon MEDICAID 500660445
Oregon MEDICAID 34053400

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