person
Carly Jane King
Medical Physician Assistant in Portland, Oregon
NPI 1629635008

Carly Jane King is a Medical Physician Assistant based in Portland, OR and is specialized in Medical. Carly Jane King practices in Portland, OR. The NPI Number for Carly Jane King is 1629635008 and holds a License No. 58259 (Oregon).

The current practice location address for Carly Jane King is 3303 S Bond Ave, Portland, OR and can be reached out via phone at 503-494-6594 and via fax at 503-494-5385.

Location: 3303 S Bond Ave, Portland, OR, 97201-5537
person
Provider Profile Details
NPI Number
1629635008
Provider Name
Carly Jane King
Credential
Provider Entity Type
Individual
Gender
Female
Address
3303 S Bond Ave, Portland, OR, 97201-5537
Phone Number
503-494-6594
Fax Number
503-494-5385
Provider Enumeration Date
05/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3303 S Bond Ave
City
State
Zip
97239-4501
Phone Number
503-494-6594
Fax Number
503-494-5385
person
Provider Business Mailing Address Details
Address
3303 S Bond Ave
City
State
Zip
97239-4501
Phone Number
503-494-6594
Fax Number
503-494-5385
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
58259 (California)
Definition
Definition to come...
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