NPI 1235550633

Jennifer Gabriel

Practitioner Specialist Beaverton, OR

Practice location

Address: 15075 NW Oakmont Loop, Beaverton, OR 97006-5506
Phone: (503) 531-9957

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 997459 (OR)

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Registry record

NPI: 1235550633
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jan 2014
Record last updated: 2 Jan 2014

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.