person
Jannelle Marie Fukuji, PA-C
Medical Physician Assistant in Portland, Oregon
NPI 1396014114

Jannelle Marie Fukuji is a Medical Physician Assistant based in Portland, OR and is specialized in Medical. Jannelle Marie Fukuji practices in Portland, OR and has the professional credentials of PA-C. The NPI Number for Jannelle Marie Fukuji is 1396014114 and holds a License No. PA171607 (Oregon).

The current practice location address for Jannelle Marie Fukuji is 9495 Sw Locust St, Portland, OR and can be reached out via phone at 503-696-9011 and via fax at 503-696-3952. You can also correspond with Jannelle Marie Fukuji through the mailing address at 9495 SW LOCUST ST, PORTLAND, OR - 97223-6683 (mailing address contact number: 503-696-9011).

Location: 9495 Sw Locust St, Portland, OR, 97223-6683
person
Provider Profile Details
NPI Number
1396014114
Provider Name
Jannelle Marie Fukuji
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
9495 Sw Locust St, Portland, OR, 97223-6683
Phone Number
503-696-9011
Fax Number
503-696-3952
Provider Enumeration Date
12/22/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9495 Sw Locust St
City
State
Zip
97223-6683
Phone Number
503-696-9011
Fax Number
503-696-3952
person
Provider Business Mailing Address Details
Address
9495 Sw Locust St
City
State
Zip
97223-6683
Phone Number
503-696-9011
Fax Number
503-696-3952
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA171607 (Oregon)
Definition
Definition to come...
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