Individual
JENNIFER I FLUKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7820
(503) 494-7829
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7820
(503) 494-7829
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
158406
MT
363AS0400X
Surgical Physician Assistant
PA06970
TX
363AS0400X
Surgical Physician Assistant
Primary
PA169660
OR
Other
Enumeration date
04/04/2011
Last updated
04/21/2025
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