Individual
MISS JENNIFER ANN PRYAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 SW 12TH AVE, SUITE 205, PORTLAND, OR 97205-2035
(503) 279-0205
Mailing address
1507 SE LEXINGTON ST, PORTLAND, OR 97202-6045
(847) 769-1379
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
—
—
Other
Enumeration date
02/28/2011
Last updated
02/28/2011
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