Summers, Jeana Lyn

Summers, Jeana Lyn is an individual health care provider with primary practice located at 11782 Sw Barnes Rd Ste 300 , Portland OR 97225-5933. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is her primary health care specialty. Summers, Jeana Lyn can be contacted via phone (503) 214-5200.

Contact Information

Primary practice address
11782 Sw Barnes Rd Ste 300 Portland OR 97225-5933
Phone: (503) 214-5200
Fax: (503) 906-6613
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X DO193479 Oregon
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X DO193479 Oregon
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO193479 Oregon
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X DO193479 Oregon

Profile Details

NPI number 1902242506
LBN Legal business name Summers, Jeana Lyn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2013
Last updated May 23rd, 2022 - about 3 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 1902242506 NPPES
Oregon Other DO193479 OREGON MEDICAL LICENSE
Oregon MEDICAID 5800764870 OREGON MEDICAL LICENSE

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