Provider Demographics
NPI:1356636351
Name:JONES, GAIL K (MD)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:K
Last Name:JONES
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10000 SE MAIN ST STE 60
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97216-2461
Mailing Address - Country:US
Mailing Address - Phone:503-257-0959
Mailing Address - Fax:503-256-7757
Practice Address - Street 1:10000 SE MAIN ST STE 60
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97216-2461
Practice Address - Country:US
Practice Address - Phone:503-257-0959
Practice Address - Fax:503-256-7757
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-17
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD61263027207RC0000X
ORMD172056390200000X, 207RC0000X
MI4301098886390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program