Individual provider · Type 1 NPI

Jennifer Tobin, PA-C

Medical Physician Assistant · Portland, OR

NPI number 1508947755 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Call (503) 494-7641 Map

Other practice locations

  • 875 Oak St SE, Suite 5020, Salem, OR 97301-3975 · (503) 371-4044

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700XPA10004894 (WA)
Surgical Physician Assistant 363AS0400XPA165082 (OR)
Medical Physician Assistant Primary 363AM0700XPA165082 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1508947755

Jennifer Tobin, PA-C's National Provider Identifier is 1508947755, issued on Oct 17, 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 Dec 22, 2020.