MRS. JENNIFER BAKER FLEMING MS PA-C NPI 1376505883

NPI Information

NPI: 1376505883
Provider Name: MRS. JENNIFER BAKER FLEMING, MS PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

PECOS Registration: Yes

Address:
501 N GRAHAM ST
SUITE 580
PORTLAND, OR
ZIP 97227
Phone: (503) 528-0704
Get Directions

MRS. Jennifer Baker Fleming, MS PA-C is a surgical physician assistant in Portland, OR. MRS. Jennifer Baker Fleming, MS PA-C NPI is 1376505883. 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:

501 N GRAHAM ST
SUITE 580
PORTLAND, OR
ZIP 97227-003
Phone: (503) 528-0704
Fax: (503) 528-0708

The NPI 1376505883 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 enumeration date for this NPI number is 4/3/2006 and was last updated on 7/8/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	PA00835	OREGON	Yes
2	363AM0700X	Physician Assistant	Medical	PA00835	OREGON	X

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	MB0861826	OTHER		DEA

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

NPI Synchronization or Removal

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