Individual provider · Type 1 NPI

Jane Erin Petr

Medical Physician Assistant · Portland, OR

NPI number 1033839006 Active

Practice location

3303 S Bond Ave
Portland, OR 97239-4501

Fax (503) 494-5385

Mailing address

1400 SW 5th Ave Ste 500
Portland, OR 97201-5537

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XNone listed
Medical Physician Assistant Primary 363AM0700XPA219625 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1033839006

Jane Erin Petr's National Provider Identifier is 1033839006, issued on Aug 31, 2022. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Nov 20, 2024.