Individual
DR. JENNIFER L LETOURNEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-8256
(503) 413-7361
Mailing address
1015 NW 22ND AVE, PORTLAND, OR 97210-3025
(503) 413-8256
(503) 413-7361
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
DO23519
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1120518
—
WA
Enumeration date
05/02/2006
Last updated
09/01/2016
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