Individual
MS. JENNIFER LYNN GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., R.N.
Contact information
Practice address
4105 SE INTERNATIONAL WAY, SUITE 501, MILWAUKIE, OR 97222-8855
(503) 496-3201
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-3581
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
093007157RN
OR
Other
Enumeration date
03/20/2013
Last updated
03/20/2013
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