Jennifer K. Van Atta, PA

NPI #1295818383 in Tigard, Oregon

Provider Information

NPI Number
1295818383
Entity Type
Individual
Name
Jennifer K. Van Atta, PA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
PA
Enumeration Date
Oct 23, 2006
Last Updated
Jan 25, 2013

Practice Location

Address
15755 SW SEQUOIA PKWY STE 200
City
Tigard
State
Oregon
ZIP Code
97224-7166
Phone
(503) 639-6002

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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