Individual
JENNA LEE ESTERBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
24076 SE STARK ST, SUITE 230, GRESHAM, OR 97030-3373
(503) 488-2600
(503) 465-5468
Mailing address
4400 NE HALSEY ST., POP 2- 4TH FLOOR, PORTLAND, OR 97213
(503) 893-6361
(503) 893-6891
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA162183
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1932548161
—
WA
05
—
500660295
—
OR
Enumeration date
06/20/2013
Last updated
03/11/2021
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