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Contact Information

HERMINA K JEON, MD
4805 NE GLISAN ST
PORTLAND, OR97213
 Phone: 503-215-2392
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hospitalist

208M00000X
Indicates primary specialty

NPI Profile & details for HERMINA K JEON · (Female)

NPI # 1205191293
Status Active
Credentials MD
Entity Individual
Enumeration date 07/06/2012
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • OR License # MD190457
  • OR Medicaid 500763673
Hospital affiliation(s)
  • PROVIDENCE PORTLAND MEDICAL CENTER - (Acute Care)
    4805 NE GLISAN STREET
    PORTLAND, OR 97213
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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