NPI 1003410150

Jenna Halbert, Nd LLC

Organisation Clinic/Center Portland, OR

Practice location

Address: 333 NE Russell St STE 207, Portland, OR 97212-3763
Phone: (503) 482-8301
Mailing address: 4135 SE 63rd Ave, Portland, OR 97206-3764

Authorised official

Name: Jenna Halbert
Title: Owner
Phone: (503) 482-8301

Registered specialties

Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261Q00000X

Other Clinic/Center providers in Oregon →

Registry record

NPI: 1003410150
Entity type: Organization
NPI issued: 29 Nov 2020
Record last updated: 29 Nov 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.