Nordeen, Jenny

Nordeen, Jenny is an individual health care provider with primary practice located at 19875 Sw 65Th Ave Ste. 100, Tualatin OR 97062-8353. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Nordeen, Jenny can be contacted via phone (503) 692-7785.

Contact Information

Primary practice address
19875 Sw 65Th Ave Ste. 100 Tualatin OR 97062-8353
Phone: (503) 692-7785
Fax: (503) 692-2520
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD158615 Oregon

Profile Details

NPI number 1871789024
LBN Legal business name Nordeen, Jenny
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2007
Last updated Aug 8th, 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 1871789024 NPPES
Oregon MEDICAID 22959
Oregon MEDICAID 96511

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