Individual
MS. JENNIFER JOAN BEEMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
9290 SE SUNNYBROOK BLVD, SUITE 120, CLACKAMAS, OR 97015-6802
(503) 215-2110
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
201350099NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500663762
—
OR
01
—
P01346991
RR MEDICARE - PROVIDENCE
OR
Enumeration date
06/25/2013
Last updated
11/07/2014
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