Individual
JERIMIAH GERONIMO GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
5050 NE HOYT ST, PORTLAND, OR 97213-2991
(503) 215-6600
Mailing address
5050 NE HOYT ST, PORTLAND, OR 97213-2991
(503) 215-6600
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
201505330
OR
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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