Most Relevant Information
Provider Data
| NPI Number: | 1003836487 |
| Provider Name: | JONATHAN L VINSON MD |
| Entity Type: | Individual |
| Taxonomy Code: | 207Q00000X |
| Specialty: | Family Medicine |
| License Number: | MD00044589 |
Most Important Dates
| Enumeration Date: | 07/20/2006 |
| Last Updated: | 10/13/2021 |
Provider Practice Location
839 NE HOLLADAY ST
PORTLAND
OR
972323521
Practice Location Phone/Fax
| Phone: | 5032030700 |
| Fax: |
Provider Mailing Location
PO BOX 3158
PORTLAND
OR
972083158
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |
Suggested EMR
Family Practice EMR