Nelson, Jennifer Penfield
Nelson, Jennifer Penfield is an individual health care provider with primary practice located at 2111 Ne 25Th Ave Intel Health For Life Center Ms:Jf-167, Hillsboro OR 97124. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Nelson, Jennifer Penfield can be contacted via phone (503) 264-8315.Contact Information
Primary practice address
2111 Ne 25Th Ave Intel Health For Life Center Ms:Jf-167
Hillsboro OR 97124
Phone: (503) 264-8315
Fax: (503) 264-0559
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA00813 | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 00813 | Oregon |
Profile Details
| NPI number | 1518973015 |
|---|---|
| LBN Legal business name | Nelson, Jennifer Penfield |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Jan 3rd, 2020 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518973015 | NPPES |
| Oregon | MEDICAID | 500617236 |
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