Individual
MRS. JENNIFER GILHOOLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
707 SW GAINES ST, CDRC-P, PORTLAND, OR 97239-2901
(503) 494-3868
(503) 494-1542
Mailing address
801 SW TERWILLIGER PL, PORTLAND, OR 97239-2665
(503) 494-3868
(503) 494-1542
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
080034794N2 PNP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080034794N2 PNP-PP
PNP LICENSE
OR
Enumeration date
03/13/2007
Last updated
07/08/2007
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