Individual provider · Type 1 NPI

Jennifer Purdy Mayberry, MD

Diagnostic Radiology Physician · Portland, OR

NPI number 1467565671 Active

Practice location

233 NE 102nd Ave
Portland, OR 97220

Call (503) 253-1105 Map

Fax (503) 535-8398

Mailing address

21874 NE Park Lane
Fairview, OR 97204

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202XMD24376 (OR)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1467565671

Jennifer Purdy Mayberry, MD's National Provider Identifier is 1467565671, issued on Aug 15, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.