person
Jennifer Sara Semmelroth, PA-C
Medical Physician Assistant in Portland, Oregon
NPI 1093804536

Jennifer Sara Semmelroth is a Medical Physician Assistant based in Portland, OR and is specialized in Medical. Jennifer Sara Semmelroth practices in Portland, OR and has the professional credentials of PA-C. The NPI Number for Jennifer Sara Semmelroth is 1093804536 and holds a License No. PA01085 (Oregon).

The current practice location address for Jennifer Sara Semmelroth is 9701 Sw Barnes Rd, Portland, OR and can be reached out via phone at 503-297-8081 and via fax at 503-292-6601.

Location: 9701 Sw Barnes Rd, Portland, OR, 97232-2684
person
Provider Profile Details
NPI Number
1093804536
Provider Name
Jennifer Sara Semmelroth
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
9701 Sw Barnes Rd, Portland, OR, 97232-2684
Phone Number
503-297-8081
Fax Number
503-292-6601
Provider Enumeration Date
10/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
911019392 01 COMMERCIAL
2039355 05 WA
500605524 05 OR
00834454 01 OR MEDICARE RAILROAD
institution
Provider Business Practice Location Address Details
Address
9701 Sw Barnes Rd
City
State
Zip
97225-6772
Phone Number
503-297-8081
Fax Number
503-292-6601
person
Provider Business Mailing Address Details
Address
9701 Sw Barnes Rd
City
State
Zip
97225-6772
Phone Number
503-297-8081
Fax Number
503-292-6601
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA01085 (Oregon)
Definition
Definition to come...
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