IndividualActive
Audra Norris-Jacob, MD
NPI 1770809303 · Obstetrics & Gynecology Physician · Gresham, OR
Provider details
- NPI number
- 1770809303
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- MD168646 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
24850 Se Stark St Ste 200
Gresham, OR 97030-8320
Phone: (503) 491-9444
Approximate (ZIP-level) locationGet directions
Mailing address
24850 Se Stark St Ste 200
Gresham, OR 97030-8320
Registry dates
- Enumerated
- 2010-04-07
- Last updated
- 2019-10-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.