Jennifer Tobin is a Medical in Portland, Oregon. Jennifer Tobin practices all healthcare services and medical treatments related to Medical. The NPI Number for Jennifer Tobin is 1508947755. The last update date is 2020-12-22.
Jennifer Tobin's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034947641. The mailing address for Jennifer Tobin is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jennifer Tobin |
|---|---|
| Address | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
| Phone Number | 5034947641 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1508947755 |
|---|---|
| Provider Enumeration Date | 2006-10-17 |
| Last Updated Date | 2020-12-22 |
Provider Mailing Address Detail
| Address | 3181 Sw Sam Jackson Park Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972393011 |
| Phone Number | 5034947641 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | PA10004894 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 500664202 | OR | -- |
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Where is the Jennifer Tobin located?
The Jennifer Tobin is located at 3181 Sw Sam Jackson Park Rd, Portland, OR 972393011.
What is the Jennifer Tobin's specialty and taxonomy code?
The Jennifer Tobin's specialty is Medical, and the corresponding taxonomy code is 363Am0700X.
What is the area of specialization for Jennifer Tobin, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Jennifer Tobin is Medical, and the corresponding taxonomy code that categorizes this area of expertise is 363Am0700X.
When was the Jennifer Tobin's 1508947755 issued?
The Jennifer Tobin's 1508947755 was issued on 2006-10-17.
When was the information pertaining to Jennifer Tobin most recently updated or revised?
The details related to Jennifer Tobin, including its address, specialty, and other relevant information, were last updated or revised on 2020-12-22.