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Individual

DR. JENNIFER JO DONOHUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(503) 520-4862
Mailing address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD19527
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
073523
OR
Enumeration date
07/31/2006
Last updated
02/04/2022
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