Individual
JESSICA JANZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5933 NE WIN SIVERS DR STE 305, PORTLAND, OR 97220-9106
(503) 420-5852
(844) 276-4208
Mailing address
3103 NE 12TH AVE, PORTLAND, OR 97212-2242
(406) 202-8735
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
164407
OR
207P00000X
Emergency Medicine Physician
42586
AZ
Other
Enumeration date
09/03/2007
Last updated
11/01/2022
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