Individual
JENNIFER DREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
9427 SW BARNES RD, SUITE 498, PORTLAND, OR 97225-6652
(503) 216-0900
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA01227
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286755
—
OR
Enumeration date
06/30/2006
Last updated
03/09/2021
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