Individual
DR. JENNIFER EILEEN SHEPARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1510 DIVISION ST, SUITE 280, OREGON CITY, OR 97045-1581
(503) 905-3400
Mailing address
1510 DIVISION ST, SUITE 280, OREGON CITY, OR 97045-1581
(503) 905-3400
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD165345
OR
2080P0207X
Pediatric Hematology & Oncology Physician
MD165345
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/26/2011
Last updated
06/23/2014
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