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NPI Code Detail

MEDICARE: DR. JENNIFER HEWSON LINCOLN M.D.

MEDICARE: DR. JENNIFER HEWSON LINCOLN M.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
1207V00000XObstetrics & Gynecology PhysicianND28959OR
2207V00000XObstetrics & Gynecology PhysicianMD442679PA
3208M00000XHospitalist PhysicianMD28959OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528275815
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JENNIFER HEWSON LINCOLN M.D.
Provider Business Mailing Address
First Line : PO BOX 3158
Second Line :
City : PORTLAND
State : OR
Zip : 97208-3158
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9205 SW BARNES RD
Second Line : 3RD FLOOR MT 3401
City : PORTLAND
State : OR
Zip : 97225-6603
Country : US
Telephone Number : 503-216-3388
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/17/2007
Last Update Date : 03/19/2021

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