Individual
JENNIFER RAYBIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5150
(503) 418-5165
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-5150
(503) 418-5165
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
202209935NP-PP
OR
363LP0200X
Pediatric Nurse Practitioner
122904
CO
363LP0200X
Pediatric Nurse Practitioner
Primary
202209935NP-PP
OR
Other
Enumeration date
10/25/2006
Last updated
08/10/2022
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