Individual provider · Type 1 NPI

Jennifer J. Siebold, CPNP

Pediatric Nurse Practitioner · Portland, OR

NPI number 1184620445 Active

Practice location

2525 NW Lovejoy St, Ste 200
Portland, OR 97210-2863

Fax (503) 227-0676

Mailing address

4103 Mercantile Dr
Lake Oswego, OR 97035-2556

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner Primary 363LP0200X0900006598N2 (OR)

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1184620445

Jennifer J. Siebold, CPNP's National Provider Identifier is 1184620445, issued on Jun 22, 2005. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Portland, OR. The record was last updated on Jul 13, 2026.