Hyde, Jason Karl

Hyde, Jason Karl is an individual health care provider with primary practice located at 202 Nw 20Th Ave , Portland OR 97209-1907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Hyde, Jason Karl can be contacted via phone (503) 274-7128.

Contact Information

Primary practice address
202 Nw 20Th Ave Portland OR 97209-1907
Phone: (503) 274-7128
Fax: (503) 241-5037
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD00046624 Washington
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 55950 Oregon

Profile Details

NPI number 1659320471
LBN Legal business name Hyde, Jason Karl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Sep 2nd, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659320471 NPPES
Washington MEDICAID 8536674

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