Byrne, Jennifer Marie

Byrne, Jennifer Marie is an individual health care provider with primary practice located at 2800 Sw 257Th Ave , Troutdale OR 97060-1803. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Byrne, Jennifer Marie can be contacted via phone (503) 667-7711.

Contact Information

Primary practice address
2800 Sw 257Th Ave Troutdale OR 97060-1803
Fax: (503) 669-8328
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO26691 Oregon

Profile Details

NPI number 1023032919
LBN Legal business name Byrne, Jennifer Marie
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Sep 27th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023032919 NPPES
Oregon MEDICAID 278769

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