Search › Oregon › 175F00000X
Jason Derico, N.D
NPI 1265804652 · on the registry since 2015 · sole proprietor
Practice
- Address
- 4757 Sw 141st Ave
Beaverton, OR 97005 - Phone
- (503) 610-6924
Registry record
- Primary taxonomy
- 175F00000X
175F00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-10-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon