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NPI Code Detail

MEDICARE: JENNIFER CAMPBELL PA-C

MEDICARE: JENNIFER CAMPBELL PA-C
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
1363A00000XPhysician Assistant924TN
2363A00000XPhysician AssistantPA172252OR

General Provider Information

NPI Number : 1134292964
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER CAMPBELL PA-C
Provider Business Mailing Address
First Line : 2725 SW CEDAR HILLS BLVD STE 200
Second Line :
City : BEAVERTON
State : OR
Zip : 97005-1435
Country : US
Telephone Number : 503-352-6000
Fax Number :
Provider Business Practice Location Address
First Line : 2725 SW CEDAR HILLS BLVD STE 200
Second Line :
City : BEAVERTON
State : OR
Zip : 97005-1435
Country : US
Telephone Number : 503-214-1783
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2006
Last Update Date : 08/11/2025

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Directions to “ JENNIFER CAMPBELL PA-C” Practice Location

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