Individual
JENNIFER G OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
2505 SW SPRING GARDEN ST STE 200, PORTLAND, OR 97219-3966
(503) 432-8050
(503) 432-8025
Mailing address
2505 SW SPRING GARDEN ST STE 200, PORTLAND, OR 97219-3966
(503) 432-8050
(503) 432-8025
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201704184NP-PP
OR
363L00000X
Nurse Practitioner
71004031A
IN
Other
Enumeration date
07/11/2012
Last updated
03/17/2018
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