Jermaine Mason
Non-emergency Medical Transport (VAN) in Portland, OR. Individual provider (NPI-1).
NPI number1760104095
StatusActive
Last updated in NPPESSep 13, 2022
Details
- NPI
- 1760104095
- Entity type
- Individual (NPI-1)
- Name
- Jermaine Mason
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 13, 2022
- Certification date
- Sep 13, 2022
- Last updated
- Sep 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 343900000X | Non-emergency Medical Transport (VAN) | – | – | Yes |
Practice location
13390 Nw Hogan StPortland, OR 97229-4577
Phone 971-277-8501
Mailing address
13390 Nw Hogan StPortland, OR 97229-4577
Phone 971-277-8501
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