Individual provider · Type 1 NPI

Anjulia Jimenez, PA-S

Surgical Physician Assistant · Portland, OR

NPI number 1558833152 Active

Practice location

3303 S Bond Ave
Portland, OR 97239-4501

Fax (503) 494-5050

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Surgical Physician Assistant Primary 363AS0400XPA197857 (OR)

Surgical Physician Assistant: Definition to come...

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About NPI 1558833152

Anjulia Jimenez, PA-S's National Provider Identifier is 1558833152, issued on Dec 19, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Portland, OR. The record was last updated on Mar 17, 2021.