Individual
JENNIFER E FEENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ANP
Contact information
Practice address
501 N GRAHAM ST STE 550, PORTLAND, OR 97227-2010
(503) 284-5220
(503) 284-4971
Mailing address
541 NE 20TH AVE STE 225, PORTLAND, OR 97232-2895
(503) 963-2801
(503) 963-2825
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10027852
OR
363LF0000X
Family Nurse Practitioner
112965
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95010242
—
CA
05
—
K167844
—
AK
Enumeration date
08/09/2016
Last updated
07/15/2024
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