DERRICK MICHAEL JONES PA-C NPI 1033759212

NPI Information

NPI: 1033759212
Provider Name: DERRICK MICHAEL JONES, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: MULTNOMAH COUNTY

PECOS Registration: Yes

Address:
12710 SE DIVISION ST
PORTLAND, OR
ZIP 97236
Phone: (503) 988-3601
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Derrick Michael Jones, PA-C is a medical physician assistant in Portland, OR with 5 years of experience. Derrick Michael Jones, PA-C NPI is 1033759212. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12710 SE DIVISION ST
PORTLAND, OR
ZIP 97236-134
Phone: (503) 988-3601

The NPI 1033759212 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/15/2020 and was last updated on 1/15/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical	PA196333	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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