Individual
JENNA HANNAH GAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
335 SE 8TH AVE, HILLSBORO, OR 97123-4246
(503) 681-1860
(503) 681-1606
Mailing address
1400 SW 5TH AVE STE 500, PORTLAND, OR 97201-5537
(503) 494-8417
(503) 494-4455
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5009013
NC
363LA2100X
Acute Care Nurse Practitioner
Primary
201809756NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500759983
—
OR
Enumeration date
11/04/2016
Last updated
12/21/2023
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