Individual
ANJULIA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-S
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-6400
(503) 494-5050
Mailing address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-6400
(503) 494-5050
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA197857
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/19/2018
Last updated
03/17/2021
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