Individual
JENNIFER ERIN BRAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
F.N.P.
Contact information
Practice address
6400 SE LAKE RD STE 155, PORTLAND, OR 97222-2137
(503) 447-3285
(503) 917-4971
Mailing address
6400 SE LAKE RD STE 155, PORTLAND, OR 97222-2137
(971) 358-9292
(503) 917-4971
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200250088NP-FNP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100233
—
OR
Enumeration date
08/13/2006
Last updated
02/05/2026
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