Individual
JENNIFER E BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(800) 813-2000
Mailing address
4410 NE FAILING ST, PORTLAND, OR 97213-1056
(503) 734-8683
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD25627
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269793
—
OR
01
—
P00672645
RR MEDICARE (PH&S)
OR
Enumeration date
07/26/2006
Last updated
09/12/2024
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