Individual
ANDREA GROUT JANSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD26115
Contact information
Practice address
7529 SE TUALATIN VALLEY HWY, HILLSBORO, OR 97123-8252
(503) 681-4240
Mailing address
7529 SE TUALATIN VALLEY HWY, HILLSBORO, OR 97123-8252
(503) 681-4240
(503) 730-1369
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD26115
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213319
—
OR
Enumeration date
06/12/2006
Last updated
04/13/2020
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