Individual
MS. JENNIFER LYNN DIRKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7641
(503) 494-8368
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE SJH-2, PORTLAND, OR 97239-3011
(503) 494-4910
(503) 494-8368
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
201805689CRNA
OR
367500000X
Certified Registered Nurse Anesthetist
828396
TX
367500000X
Certified Registered Nurse Anesthetist
Primary
AP61010345
WA
Other
Enumeration date
07/13/2015
Last updated
05/13/2026
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