Individual
JENNY L HUME
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
9155 SW BARNES RD, SUITE 440, PORTLAND, OR 97225-6625
(503) 297-3766
(503) 296-1168
Mailing address
9155 SW BARNES RD, SUITE 440, PORTLAND, OR 97225-6625
(503) 297-3766
(503) 296-1168
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00716
OR
Other
Enumeration date
09/27/2005
Last updated
07/08/2007
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