Individual provider · Type 1 NPI

Jerry Everett King, MD

Diagnostic Radiology Physician · Clackamas, OR

NPI number 1154465482 Active

Practice location

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970

Mailing address

10230 E Arrowvale Dr
Sun Lakes, AZ 85248-7649

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XMD08996 (OR)
Diagnostic Radiology Physician 2085R0202XMD00034639 (WA)
Diagnostic Radiology Physician 2085R0202X30952 (AZ)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1154465482

Jerry Everett King, MD's National Provider Identifier is 1154465482, issued on Feb 19, 2007. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Clackamas, OR. The record was last updated on Jul 8, 2007.