Individual
JENNIFER ANDRESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P
Contact information
Practice address
11211 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-7787
(503) 659-0880
(503) 513-7425
Mailing address
PO BOX 92900, PORTLAND, OR 97292-0900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201350079NP
OR
Other
Enumeration date
10/04/2011
Last updated
03/03/2014
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