Summers, Jeana Lyn
Summers, Jeana Lyn is an individual health care provider with primary practice located at 11782 Sw Barnes Rd Ste 300 , Portland OR 97225-5933. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is her primary health care specialty. Summers, Jeana Lyn can be contacted via phone (503) 214-5200.Contact Information
Primary practice address
11782 Sw Barnes Rd Ste 300
Portland OR 97225-5933
Phone: (503) 214-5200
Fax: (503) 906-6613
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | DO193479 | Oregon |
| Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | DO193479 | Oregon |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DO193479 | Oregon |
| Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery | 207XP3100X | DO193479 | Oregon |
Profile Details
| NPI number | 1902242506 |
|---|---|
| LBN Legal business name | Summers, Jeana Lyn |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2013 |
| Last updated | May 23rd, 2022 - about 4 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 | 1902242506 | NPPES |
| Oregon | Other | DO193479 | OREGON MEDICAL LICENSE |
| Oregon | MEDICAID | 5800764870 | OREGON MEDICAL LICENSE |
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