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Individual

JOHN NJENGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA, MS, MHS, MPH

Contact information

Practice address
12710 SE DIVISION ST, PORTLAND, OR 97236-3134
(503) 988-5578
Mailing address
12710 SE DIVISION ST, PORTLAND, OR 97236-3134
(503) 988-5578

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OR01379
OR
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
MA053309
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C03762
MARYLAND MEDICAL BOARD
MD
01
MA053309
PENNSYLVANIA MEDICAL BOARD
PA
01
OR01379
OREGON MEDICAL BOARD
OR
01
PA601442006
WASHINGTON BOARD OF MEDICINE
OR
Enumeration date
12/21/2007
Last updated
02/18/2014
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