JENNIFER J SIEBOLD

PORTLAND, OR
NPI1184620445
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: OR  0900006598N2)
Enumeration Date2005-06-22
Last Update Date2007-07-08
Business Address
-- JENNIFER J SIEBOLD CPNP
2525 NW LOVEJOY ST STE 200
PORTLAND, OR 97210-2863
Phone number: 503-227-0671
Mailing Address
-- JENNIFER J SIEBOLD CPNP
4103 MERCANTILE DR
LAKE OSWEGO, OR 97035-2556
Phone number: 503-636-4508
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