Individual
MRS. JENNIFER MARIE KRAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
9290 SE SUNNYBROOK BLVD, SUITE 120, CLACKAMAS, OR 97015-6899
(503) 215-2110
(503) 215-2115
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/27/2010
Last updated
03/19/2021
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