Individual
JENNIFER KEISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12123 SW 69TH AVE, TIGARD, OR 97223-8514
(971) 708-7600
(971) 371-5230
Mailing address
1498 SE TECH CENTER PL STE 240, VANCOUVER, WA 98683-5508
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-46374
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/12/2016
Last updated
07/17/2023
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