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Jennifer J Siebold, CPNP
Pediatric Nurse Practitioner in Portland, Oregon
NPI 1184620445

Jennifer J Siebold is a Pediatric Nurse Practitioner based in Lake Oswego, OR and is specialized in Pediatrics. Jennifer J Siebold practices in Portland, OR and has the professional credentials of CPNP. The NPI Number for Jennifer J Siebold is 1184620445 and holds a License No. 0900006598N2 (Oregon).

The current practice location address for Jennifer J Siebold is 2525 Nw Lovejoy St, Portland, OR and can be reached out via phone at 503-227-0671 and via fax at 503-227-0676. You can also correspond with Jennifer J Siebold through the mailing address at 4103 MERCANTILE DR, LAKE OSWEGO, OR - 97035-2556 (mailing address contact number: 503-636-4508).

Location: 2525 Nw Lovejoy St, Portland, OR, 97035-2556
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Provider Profile Details
NPI Number
1184620445
Provider Name
Jennifer J Siebold
Credential
CPNP
Provider Entity Type
Individual
Gender
Female
Address
2525 Nw Lovejoy St, Portland, OR, 97035-2556
Phone Number
503-227-0671
Fax Number
503-227-0676
Provider Enumeration Date
06/22/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
070123 05 OR
institution
Provider Business Practice Location Address Details
Address
2525 Nw Lovejoy St
City
State
Zip
97210-2863
Phone Number
503-227-0671
Fax Number
503-227-0676
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Provider Business Mailing Address Details
Address
4103 Mercantile Dr
City
State
Zip
97035-2556
Phone Number
503-636-4508
Fax Number
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Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
0900006598N2 (Oregon)
Definition
Definition to come...
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