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JENNIFER KAY BANE PA-C NPI 1033437298


NPI Information

NPI: 1033437298
Provider Name: JENNIFER KAY BANE, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: BARZIN KHALILI, M.D., LLC

PECOS Registration: Yes

Address:
511 SW 10TH AVE
SUITE 1301
PORTLAND, OR
ZIP 97205
Phone: (503) 228-0155
Get Directions

Jennifer Kay Bane, PA-C is a medical physician assistant in Portland, OR with 24 years of experience. Jennifer Kay Bane, PA-C NPI is 1033437298. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:2000

The provider's business location address is:

511 SW 10TH AVE
SUITE 1301
PORTLAND, OR
ZIP 97205-732
Phone: (503) 228-0155
Fax: (503) 226-8342

The NPI 1033437298 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Measurement and graphic recording of total and timed exhaled air capacity (HCPCS:94010)

The enumeration date for this NPI number is 5/12/2010 and was last updated on 12/13/2019.


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
1207K00000XAllergy & ImmunologyPA173635OREGONNo
2363AM0700XPhysician AssistantMedical173635OREGONYes
3363AM0700XPhysician AssistantMedicalPA10004564WASHINGTONNo

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
12010430MEDICAIDWASHINGTON

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: 11/14/2023

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.