MEDICARE: DR. JENNIFER KARON N.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	175F00000X	Naturopath	1687	OR

General Provider Information

NPI Number	:	1083949473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER KARON N.D.

Provider Business Mailing Address
First Line	:	12329 SW 57TH AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97219-7138
Country	:	US
Telephone Number	:	503-621-2611
Fax Number	:

Provider Business Practice Location Address
First Line	:	7175 SW BEVELAND RD STE 105
Second Line	:
City	:	TIGARD
State	:	OR
Zip	:	97223-8665
Country	:	US
Telephone Number	:	503-244-0500
Fax Number	:	503-506-0811

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/02/2009
Last Update Date	:	06/18/2020

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