Individual
JENNIFER COMBS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMNHP
Contact information
Practice address
1130 NW 22ND AVE, PORTLAND, OR 97210-2900
(503) 413-8988
(503) 413-5629
Mailing address
1130 NW 22ND AVE, PORTLAND, OR 97210-2900
(503) 413-8988
(503) 413-5629
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
200850171NP
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
AP60085900
WA
Other
Enumeration date
06/17/2009
Last updated
02/05/2014
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