Individual
JENNINE MARIE VARHOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5050 NE HOYT ST STE 362, PORTLAND, OR 97213-2983
(503) 239-6800
(503) 239-0006
Mailing address
847 NE 19TH AVE, SUITE 300, PORTLAND, OR 97232-2684
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
DO150801
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102194
—
OR
05
—
2020577
—
WA
Enumeration date
10/27/2006
Last updated
11/11/2021
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