IndividualActive
Anjulia Jimenez, PA-S
NPI 1558833152 · Surgical Physician Assistant · Portland, OR
Provider details
- NPI number
- 1558833152
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-S
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Student, Health Care
Practice location
3303 S Bond Ave
Portland, OR 97239-4501
Phone: (503) 494-6400
Fax: (503) 494-5050
Approximate (ZIP-level) locationGet directions
Mailing address
3303 S Bond Ave
Portland, OR 97239-4501
Registry dates
- Enumerated
- 2018-12-19
- Last updated
- 2021-03-17
- Certified
- 2021-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.