-- JENNIFER J SIEBOLD -- CPNP
Individual Provider (NPI-1)
Active
Nurse Practitioner, Pediatrics
Provider Information
- NPI Number
1184620445- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CPNP
- Status
- Active
Contact & Location
- Address
- 2525 NW LOVEJOY ST STE 200, PORTLAND, OR, 972102863
- Phone
- (503) 227-0671
- Fax
- (503) 227-0676
Specialties & Taxonomies
Nurse Practitioner, Pediatrics
Primary License: OR #0900006598N2