MEDICARE: JENNIFER OECHSNER

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	133N00000X	Nutritionist

General Provider Information

NPI Number	:	1255753992
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER OECHSNER

Provider Business Mailing Address
First Line	:	425 SE 28TH AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97214-1809
Country	:	US
Telephone Number	:	414-737-3147
Fax Number	:

Provider Business Practice Location Address
First Line	:	5331 SW MACADAM AVE STE 285
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97239-3849
Country	:	US
Telephone Number	:	503-894-9118
Fax Number	:

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

Provider Enumeration Date	:	01/15/2014
Last Update Date	:	01/15/2014

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Directions to “ JENNIFER OECHSNER ” Practice Location

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