Individual
JENNIFER LYNDA ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
12550 SW 2ND ST, BEAVERTON, OR 97005-0519
(503) 846-6689
(503) 846-6658
Mailing address
12550 SW 2ND ST, BEAVERTON, OR 97005-0519
(503) 846-6689
(503) 846-6658
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
091007328N7 WHCNP-PP
OR
Other
Enumeration date
04/13/2011
Last updated
04/13/2011
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