Individual
MRS. JENNA FIORELLA-BUFKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE- SJH-2, PORTLAND, OR 97239-3011
(503) 494-4910
(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
Primary
201360004CRNA
OR
Other
Enumeration date
10/05/2012
Last updated
11/07/2018
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