Van Atta, Jennifer K.

Van Atta, Jennifer K. is an individual health care provider with primary practice located at 15755 Sw Sequoia Pkwy Ste 200 , Tigard OR 97224-7166. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Van Atta, Jennifer K. can be contacted via phone (503) 639-6002.

Contact Information

Primary practice address
15755 Sw Sequoia Pkwy Ste 200 Tigard OR 97224-7166
Fax: (503) 639-1403
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA01150 Oregon

Profile Details

NPI number 1295818383
LBN Legal business name Van Atta, Jennifer K.
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 23rd, 2006
Last updated Jan 25th, 2013 - about 11 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295818383 NPPES
Oregon MEDICAID 001920
Oregon MEDICAID 500604336
Oregon Other 93-1280904

Popular Providers