Dr JEFFERSON T LOA is a male medical professional, specializing in Internal Medicine. He graduated in 2005.
SALEM HEALTH WEST VALLEY
550 SE CLAY ST
DALLAS
OR
973382813
Tel: 5036238301
| Npi | 1336304773 |
| Pac Id | 7416122775 |
| Professional Enrollment Id | I20160816002714 |
| Last Name | LOA |
| First Name | JEFFERSON |
| Middle Name | T |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 2005 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | |
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| Organization Legal Name | SALEM HEALTH WEST VALLEY |
| Group Practice Pac Id | 7810804630 |
| Number Of Group Practice Members | 22 |
| Line 1 Street Address | 550 SE CLAY ST |
| Line 2 Street Address | |
| Marker Of Address Line 2 Suppression | |
| City | DALLAS |
| State | OR |
| Zip Code | 973382813 |
| Phone Number | 5036238301 |
| Hospital Affiliation Ccn 1 | 380051 |
| Hospital Affiliation Lbn 1 | SALEM HOSPITAL |
| Hospital Affiliation Ccn 2 | 381308 |
| Hospital Affiliation Lbn 2 | WEST VALLEY HOSPITAL |
| Hospital Affiliation Ccn 3 | |
| Hospital Affiliation Lbn 3 | |
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| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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