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Jennifer Bane, PA-C

NPI 1033437298 · on the registry since 2010

Practice

Address
511 Sw 10th Ave
Suite 1301
Portland, OR 97205
Phone
(503) 228-0155
Fax
(503) 226-8342
Organisation at this address
Acg Group
Roy Huggins
Palaquin, Llc.
Kelly Raylinsky
Glasser Wulff Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
97

Registry record

Primary taxonomy
363AM0700X
363AM0700X
Also registered as
207K00000X
363AM0700X
Licence states on file
OR, WA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2019-12-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon