Jennifer Street

NPI #1144605999 in Beaverton, Oregon

Provider Information

NPI Number: 1144605999
Entity Type: Individual
Name: Jennifer Street
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: Jul 22, 2015
Last Updated: Jul 22, 2015

Practice Location

Address: 1920 NW AMBERGLEN PKWY STE 150
City: Beaverton
State: Oregon
ZIP Code: 97006-6977
Phone: (971) 327-4356

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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