NPI 1952832149 · live from the CMS NPI Registry
Jenna Anderson
Internal Medicine, Gastroenterology in Portland, OR. National Provider Identifier 1952832149, active.
NPI record
| NPI | 1952832149 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239 |
| Practice phone | 503-494-4373 |
| Enumerated | March 21, 2017 |
| Last updated | October 30, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine | 207R00000X | MD191429 (OR) |
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Internal Medicine, Gastroenterology primary | 207RG0100X | MD191429 (OR) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.