Individual
JENNA E BETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5050 NE HOYT ST STE 540, PORTLAND, OR 97213-2985
(503) 215-6600
Mailing address
811 WASHINGTON AVE S APT 906, MINNEAPOLIS, MN 55415-7513
(530) 913-6496
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
PG210661
OR
Other
Enumeration date
04/14/2022
Last updated
02/13/2024
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