JON MICHAEL HANIFIN MD
Individual Provider (NPI-1)
Active
Dermatology
Provider Information
- NPI Number
1336157882- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 3181 SW SAM JACKSON PARK RD, PORTLAND, OR, 972393011
- Phone
- (503) 418-3376
Specialties & Taxonomies
Dermatology
Primary License: OR #MD08045
All Addresses
MAILING
4108 SW GREENLEAF CT
PORTLAND, OR, 972213215