IndividualActive
Jennifer Siebold, CPNP
NPI 1184620445 · Pediatric Nurse Practitioner · Portland, OR
Provider details
- NPI number
- 1184620445
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP
- Sex
- Female
- License
- 0900006598N2 (OR)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2525 Nw Lovejoy St
Ste 200
Portland, OR 97210-2863
Phone: (503) 227-0671
Fax: (503) 227-0676
Approximate (ZIP-level) locationGet directions
Mailing address
4103 Mercantile Dr
Lake Oswego, OR 97035-2556
Registry dates
- Enumerated
- 2005-06-22
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.