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Individual

MS. JENNIFER MARIE STAGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BS, MMS, PA-C

Contact information

Practice address
10803 SE CHERRY BLOSSOM DR, PORTLAND, OR 97216-3107
(503) 261-7200
Mailing address
10803 SE CHERRY BLOSSOM DR, PORTLAND, OR 97216-3107
(503) 261-7200

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary

Other

Enumeration date
08/10/2007
Last updated
09/30/2010
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