Individual
JENNIFER MAE SOYKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4855 SW WESTERN AVE, UNIVERSITY OF OREGON, BEAVERTON, OR 97005-3460
(503) 350-4442
Mailing address
500 NE MULTNOMAH ST STE 1, PORTLAND, OR 97232-2023
(541) 912-4258
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD19236
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
072665
—
OR
01
—
930069802
RAILROAD
OR
Enumeration date
01/27/2006
Last updated
08/20/2015
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