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NPI Code Detail

MEDICARE: JON HOPKINS MD

MEDICARE: JON HOPKINS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMD26338OR
2208M00000XHospitalist PhysicianMD26338OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265493068
Entity Type Code : Individual
Provider Name (Legal Business Name) : JON HOPKINS MD
Provider Business Mailing Address
First Line : PO BOX 3158
Second Line :
City : PORTLAND
State : OR
Zip : 97208-3158
Country : US
Telephone Number : 541-732-5545
Fax Number : 541-732-5548
Provider Business Practice Location Address
First Line : 1111 CRATER LAKE AVE
Second Line :
City : MEDFORD
State : OR
Zip : 97504-6241
Country : US
Telephone Number : 541-732-5545
Fax Number : 541-732-5548
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2006
Last Update Date : 04/03/2017

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Directions to “ JON HOPKINS MD” Practice Location

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