Individual
JANIS LEIGH DENNING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
9427 SW BARNES RD STE 296, PORTLAND, OR 97225-6652
(503) 297-3778
(503) 297-7853
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
363A00000X
Physician Assistant
Primary
PA01262
OR
363AM0700X
Medical Physician Assistant
PA01262
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500603034
—
OR
05
—
8495038
—
WA
Enumeration date
09/04/2007
Last updated
02/02/2024
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