Individual
DR. JENNIFER LEE PEPPERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
342 FAIRVIEW ST, SILVERTON, OR 97381-1917
(503) 873-1500
Mailing address
PO BOX 3417, PORTLAND, OR 97208-3417
(503) 413-3900
(503) 413-3710
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
12708
NH
208600000X
Surgery Physician
CP202380
OR
208600000X
Surgery Physician
Primary
MD25433
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001628901
MEDICARE PTAN
NH
05
—
3074756
—
NH
05
—
3853025
—
TN
Enumeration date
10/29/2006
Last updated
07/07/2026
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