Individual provider · Type 1 NPI

Jack Howard Simon, MD, PhD

Neuroradiology Physician · Portland, OR

NPI number 1083786024 Active

Practice location

3710 SW Veterans Hospital Rd, Portland Va Medical Center
Portland, OR 97207

Call (303) 819-2848 Map

Mailing address

PO Box 3980
Wilsonville, OR 97070-1540

Specialties and licenses

TaxonomyCodeLicense
Neuroradiology Physician Primary 2085N0700X23522 (CO)
Diagnostic Radiology Physician 2085R0202X23522 (CO)

Neuroradiology Physician: A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.

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About NPI 1083786024

Jack Howard Simon, MD, PhD's National Provider Identifier is 1083786024, issued on Nov 14, 2006. The primary taxonomy on file is Neuroradiology Physician (2085N0700X), and the practice location is in Portland, OR. The record was last updated on Sep 11, 2025.