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Jennifer E. Bevacqua, PNP
Pediatric Nurse Practitioner in Gresham, Oregon
NPI 1326056847

Jennifer E. Bevacqua is a Pediatric Nurse Practitioner based in Portland, OR and is specialized in Pediatrics. Jennifer E. Bevacqua practices in Gresham, OR and has the professional credentials of PNP. The NPI Number for Jennifer E. Bevacqua is 1326056847 and holds a License No. 200550067NP (Oregon).

The current practice location address for Jennifer E. Bevacqua is 600 Ne 8Th St, Gresham, OR and can be reached out via phone at 503-988-5155 and via fax at 503-988-5185.

Location: 600 Ne 8Th St, Gresham, OR, 97204-1817
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Provider Profile Details
NPI Number
1326056847
Provider Name
Jennifer E. Bevacqua
Credential
PNP
Provider Entity Type
Individual
Gender
Female
Address
600 Ne 8Th St, Gresham, OR, 97204-1817
Phone Number
503-988-5155
Fax Number
503-988-5185
Provider Enumeration Date
08/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
270026 05 OR
institution
Provider Business Practice Location Address Details
Address
600 Ne 8Th St
City
State
Zip
97030-7317
Phone Number
503-988-5155
Fax Number
503-988-5185
person
Provider Business Mailing Address Details
Address
600 Ne 8Th St
City
State
Zip
97030-7317
Phone Number
503-988-5155
Fax Number
503-988-5185
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
200550067NP (Oregon)
Definition
Definition to come...
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