Christiansen, Jennifer Hope

Christiansen, Jennifer Hope is an individual health care provider with primary practice located at 265 N Broadway St , Portland OR 97227-1800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Christiansen, Jennifer Hope can be contacted via phone (503) 274-4885.

Contact Information

Primary practice address
265 N Broadway St Portland OR 97227-1800
Phone: (503) 274-4885
Fax: (503) 274-4814
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA00954 Oregon

Profile Details

NPI number 1851394878
LBN Legal business name Christiansen, Jennifer Hope
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Dec 22nd, 2011 - about 13 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 1851394878 NPPES
Oregon MEDICAID 500605481
Oregon MEDICAID 1020624

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