Individual
MRS. JENNIFER MARIE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1420 JOHN ADAMS ST, OREGON CITY, OR 97045-1609
(503) 656-1484
(503) 650-1976
Mailing address
PO BOX 1517, PENDLETON, OR 97801-0410
(877) 708-1119
(541) 278-8349
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
005270
GA
363A00000X
Physician Assistant
Primary
PA212952
OR
Other
Enumeration date
05/13/2008
Last updated
08/05/2025
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