Individual provider · Type 1 NPI

Jeffrey Owen Pentecost, DO

General Practice Physician · Portland, OR

NPI number 1861770190 Active

Practice location

3574 SE Harold Ct
Portland, OR 97202-4344

Call (503) 280-1621 Map

Specialties and licenses

TaxonomyCodeLicense
General Practice Physician Primary 208D00000XDO16894 (OR)

General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

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About NPI 1861770190

Jeffrey Owen Pentecost, DO's National Provider Identifier is 1861770190, issued on Aug 3, 2011. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Portland, OR. The record was last updated on Aug 3, 2011.