Individual
JENNIFER RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
25050 SE STARK ST, GRESHAM, OR 97030-3327
(503) 674-1848
Mailing address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-4373
(503) 418-4189
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
149570
FL
207R00000X
Internal Medicine Physician
MD210968
OR
207RG0100X
Gastroenterology Physician
Primary
MD210968
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/01/2018
Last updated
07/14/2025
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