BRIDGET THERESA O'BOYLE-JORDAN CPNP NPI 1972519429

NPI Information

  • NPI: 1972519429
  • Provider Name: BRIDGET THERESA O'BOYLE-JORDAN, CPNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • Address: 21900 WILLAMETTE DR STE 202
    WEST LINN, OR
    ZIP 97068
  • Phone: (503) 653-0631

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NPI Details

Bridget Theresa O'boyle-jordan, CPNP is a pediatrics nurse practitioner in West Linn, OR. Bridget Theresa O'boyle-jordan, CPNP NPI is 1972519429. 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:

21900 WILLAMETTE DR STE 202
WEST LINN, OR
ZIP 97068-284
Phone: (503) 653-0631
Fax: (503) 653-1464

The enumeration date for this NPI number is 8/1/2006 and was last updated on 7/27/2021.

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
1363LP0200XNurse PractitionerPediatrics200550154NPOREGONYes
2363LP0200XNurse PractitionerPediatrics200541965RNOREGONNo

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
1023299MEDICAIDOREGON

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: 3/30/2025

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