Individual provider · Type 1 NPI

Jennifer Sara Semmelroth, PA-C

Medical Physician Assistant · Portland, OR

NPI number 1093804536 Active

Practice location

9701 SW Barnes Rd, Suite 300
Portland, OR 97225-6772

Call (503) 297-8081 Map

Fax (503) 292-6601

Mailing address

847 NE 19th Ave, Suite 300
Portland, OR 97232-2684

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA01085 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1093804536

Jennifer Sara Semmelroth, PA-C's National Provider Identifier is 1093804536, issued on Oct 12, 2006. 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 22, 2021.