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ANNA JIMENEZ MD NPI 1649373424


NPI Information

NPI: 1649373424
Provider Name: ANNA JIMENEZ, MD
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Address:
124 NE 181ST AVE
SUITE 103
PORTLAND, OR
ZIP 97230
Phone: (503) 489-1760
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Anna Jimenez, MD is a family medicine in Portland, OR. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Anna Jimenez, MD NPI is 1649373424. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

124 NE 181ST AVE
SUITE 103
PORTLAND, OR
ZIP 97230-668
Phone: (503) 489-1760
Fax: (503) 489-1763

The enumeration date for this NPI number is 9/6/2006 and was last updated on 12/13/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineMD21969OREGONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H86558MEDICARE UPIN
2R133204MEDICARE ID-TYPE UNSPECIFIED
3911019392OTHERCOMMERCIAL
4067463010OTHEROREGONREGENCE
5P00335557MEDICARE ID-TYPE UNSPECIFIEDRR MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.