Individual
JENNA CLOWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
10201 SE MAIN ST, SUITE 9, PORTLAND, OR 97216-2937
(503) 252-4325
(503) 261-6789
Mailing address
10201 SE MAIN ST, SUITE 9, PORTLAND, OR 97216-2937
(503) 252-4325
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA179811
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/02/2015
Last updated
11/30/2016
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