Individual provider · Type 1 NPI

Jenny Fedesco

Registered Nurse · Milwaukie, OR

NPI number 1912861303 Active

Practice location

3606 SE Lake Rd
Milwaukie, OR 97222-6949

Mailing address

12400 SE Freeman Way
Milwaukie, OR 97222-4611

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse Primary 163W00000X201803915RN (OR)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1912861303

Jenny Fedesco's National Provider Identifier is 1912861303, issued on Dec 11, 2025. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Milwaukie, OR. The record was last updated on Dec 11, 2025.