Individual provider · Type 1 NPI
Jennifer Raybin, PNP
Pediatric Nurse Practitioner · Portland, OR
NPI number
1205911948
Active
Practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Fax (503) 418-5165
Other practice locations
- 700 SW Campus Dr, Portland, OR 97239-3107 · (303) 204-0912
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 202209935NP-PP (OR) |
| Pediatric Nurse Practitioner | 363LP0200X | 122904 (CO) |
| Pediatric Nurse Practitioner Primary | 363LP0200X | 202209935NP-PP (OR) |
Pediatric Nurse Practitioner: Definition to come...
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About NPI 1205911948
Jennifer Raybin, PNP's National Provider Identifier is 1205911948, issued on Oct 25, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Portland, OR. The record was last updated on Aug 10, 2022.