NPI 1417574807

Jwana B Ibsies, CCP

Practitioner Perfusionist Portland, OR

Practice location

Address: 3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011
Phone: (503) 505-2373
Mailing address: 12866 SW Morningstar Dr, Tigard, OR 97223-1784

Registered specialties

Perfusionist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 242T00000X Licence 089004 (OR)

Other Perfusionist providers in Oregon →

Registry record

NPI: 1417574807
Entity type: Individual
Sex (as registered): Female
NPI issued: 1 Jul 2020
Record last updated: 1 Jul 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.