Individual
JENNIFER REDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
745 NE 122ND AVE, PORTLAND, OR 97230-2001
(503) 252-0241
(503) 253-1740
Mailing address
745 NE 122ND AVE, PORTLAND, OR 97230-2001
(503) 252-0241
(503) 253-1740
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201507075LPN
OR
Other
Enumeration date
01/05/2023
Last updated
01/05/2023
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