Bane, Jennifer Kay

Bane, Jennifer Kay is an individual health care provider with primary practice located at 511 Sw 10Th Ave Suite 1301, Portland OR 97205-2732. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Bane, Jennifer Kay can be contacted via phone (503) 228-0155.

Contact Information

Primary practice address
511 Sw 10Th Ave Suite 1301 Portland OR 97205-2732
Phone: (503) 228-0155
Fax: (503) 226-8342
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X PA173635 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA10004564 Washington
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 173635 Oregon

Profile Details

NPI number 1033437298
LBN Legal business name Bane, Jennifer Kay
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2010
Last updated Dec 13th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033437298 NPPES
Washington MEDICAID 2010430

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