Individual provider · Type 1 NPI

Jennifer Kay Bane, PA-C

Medical Physician Assistant · Portland, OR

NPI number 1033437298 Active

Practice location

511 SW 10th Ave, Suite 1301
Portland, OR 97205-2732

Call (503) 228-0155 Map

Fax (503) 226-8342

Mailing address

511 SW 10th Ave Ste 1301
Portland, OR 97205-2714

Specialties and licenses

TaxonomyCodeLicense
Allergy & Immunology Physician 207K00000XPA173635 (OR)
Medical Physician Assistant 363AM0700XPA10004564 (WA)
Medical Physician Assistant Primary 363AM0700X173635 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1033437298

Jennifer Kay Bane, PA-C's National Provider Identifier is 1033437298, issued on May 12, 2010. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Dec 13, 2019.