DR. Jack Howard Simon, M.D.,PH.D.

NPI #1083786024 in Portland, Oregon

Provider Information

NPI Number: 1083786024
Entity Type: Individual
Name: DR. Jack Howard Simon, M.D.,PH.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Radiology - Neuroradiology
Credential: M.D.,PH.D.
Enumeration Date: Nov 14, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 3710 SW VETERANS HOSPITAL RD
Address 2: PORTLAND VA MEDICAL CENTER
City: Portland
State: Oregon
ZIP Code: 97207
Phone: (303) 819-2848

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Radiology - Neuroradiology — Neuroradiology	2085N0700X	Primary
Radiology - Diagnostic Radiology — Diagnostic Radiology	2085R0202X

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