JENNIFER KAY BANE PA-C
Individual Provider (NPI-1)
Active
Physician Assistant, Medical
Provider Information
- NPI Number
1033437298- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PA-C
- Status
- Active
Contact & Location
- Address
- 511 SW 10TH AVE SUITE 1301, PORTLAND, OR, 972052732
- Phone
- (503) 228-0155
- Fax
- (503) 226-8342
Specialties & Taxonomies
Allergy & Immunology
License: OR #PA173635
Physician Assistant, Medical
License: WA #PA10004564
Physician Assistant, Medical
Primary License: OR #173635