person
Jed J Juachon, PAC
Surgical Physician Assistant in Portland, Oregon
NPI 1912941600

Jed J Juachon is a Surgical Physician Assistant based in Portland, OR and is specialized in Surgical. Jed J Juachon practices in Portland, OR and has the professional credentials of PAC. The NPI Number for Jed J Juachon is 1912941600 and holds a License No. PA18038 (Oregon).

The current practice location address for Jed J Juachon is 100 Willow Plaza, Portland, OR and can be reached out via phone at 559-734-3279 and via fax at 559-627-5723.

Location: 100 Willow Plaza, Portland, OR, 97221
person
Provider Profile Details
NPI Number
1912941600
Provider Name
Jed J Juachon
Credential
PAC
Provider Entity Type
Individual
Gender
Male
Address
100 Willow Plaza, Portland, OR, 97221
Phone Number
559-734-3279
Fax Number
559-627-5723
Provider Enumeration Date
06/15/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
100 Willow Plaza
City
State
Zip
93291-6215
Phone Number
559-734-3279
Fax Number
559-627-5723
person
Provider Business Mailing Address Details
Address
100 Willow Plaza
City
State
Zip
93291-6215
Phone Number
559-734-3279
Fax Number
559-627-5723
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA18038 (California)
Definition
Definition to come...
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