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Jennifer Botelho, PA-C
Surgical Physician Assistant in Portland, Oregon
NPI 1891782751

Jennifer Botelho is a Surgical Physician Assistant based in Portland, OR and is specialized in Surgical. Jennifer Botelho practices in Portland, OR and has the professional credentials of PA-C. The NPI Number for Jennifer Botelho is 1891782751 and holds a License No. PA00838 (Oregon).

The current practice location address for Jennifer Botelho is 1130 Nw 22Nd Ave Ste 535, Portland, OR and can be reached out via phone at 503-274-4999.

Location: 1130 Nw 22Nd Ave Ste 535, Portland, OR, 97210-2976
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Provider Profile Details
NPI Number
1891782751
Provider Name
Jennifer Botelho
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1130 Nw 22Nd Ave Ste 535, Portland, OR, 97210-2976
Phone Number
503-274-4999
Fax Number
Provider Enumeration Date
10/05/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8404378 05 WA
191806 01 OR DOLI
PA00838 05 OR
institution
Provider Business Practice Location Address Details
Address
1130 Nw 22Nd Ave Ste 535
City
State
Zip
97210-2976
Phone Number
503-274-4999
Fax Number
person
Provider Business Mailing Address Details
Address
1130 Nw 22Nd Ave Ste 535
City
State
Zip
97210-2976
Phone Number
503-274-4999
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
PA00838 (Oregon)
Definition
Definition to come...
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