Individual
JEFFERY M FOLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGNP
Contact information
Practice address
2227 NE 132ND AVE # A, PORTLAND, OR 97230-3041
(503) 957-5114
Mailing address
2227 NE 132ND AVE # A, PORTLAND, OR 97230-3041
(503) 957-5114
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
10016082
OR
Other
Enumeration date
09/18/2023
Last updated
03/01/2024
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