Individual provider · Type 1 NPI
Jennifer Lea Ross, NP
Adult Health Nurse Practitioner · Portland, OR
NPI number
1760779953
Active
Practice location
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Mailing address
1885 NW Quimby St Apt 317
Portland, OR 97209-2181
Other practice locations
- 505 Parnassus Ave, San Francisco, CA 94143-2204 · (415) 353-8474
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Health Nurse Practitioner Primary | 363LA2200X | 201904219NP-PP (OR) |
| Adult Health Nurse Practitioner | 363LA2200X | 19947 (CA) |
Adult Health Nurse Practitioner: Definition to come...
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About NPI 1760779953
Jennifer Lea Ross, NP's National Provider Identifier is 1760779953, issued on Jul 7, 2011. The primary taxonomy on file is Adult Health Nurse Practitioner (363LA2200X), and the practice location is in Portland, OR. The record was last updated on Oct 4, 2019.