Individual
DR. JENNIFER MARIE WATTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2200 NE NEFF RD STE 302, BEND, OR 97701-4279
(541) 706-6915
(541) 706-6733
Mailing address
3181 SW SAM JACKSON PARK RD, L611, PORTLAND, OR 97239-3011
(503) 494-5300
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD27637
OR
2086S0102X
Surgical Critical Care Physician
Primary
MD27637
OR
2086S0127X
Trauma Surgery Physician
MD27637
OR
Other
Enumeration date
04/20/2007
Last updated
08/29/2023
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