Letourneau, Jennifer L

Letourneau, Jennifer L is an individual health care provider with primary practice located at 1015 Nw 22Nd Ave , Portland OR 97210-3025. She recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as her primary health care specialty. Letourneau, Jennifer L can be contacted via phone (503) 413-8256.

Contact Information

Primary practice address
1015 Nw 22Nd Ave Portland OR 97210-3025
Phone: (503) 413-8256
Fax: (503) 413-7361
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X DO23519 Oregon

Profile Details

NPI number 1033177886
LBN Legal business name Letourneau, Jennifer L
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2006
Last updated Sep 1st, 2016 - about 8 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 1033177886 NPPES
Washington MEDICAID 1120518

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