National Provider Identifier Database

JENNIFER P MAYBERRY, MD – NPI #1467565671
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

JENNIFER P MAYBERRY, MD
233 NE 102ND AVE
PORTLAND, OR97220
Phone: 503-253-1105
Fax: 503-535-8398
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for JENNIFER P MAYBERRY

NPI Number 1467565671
Credentials MD
Entity Individual
Enumeration date 08/15/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • OR License #: MD24376
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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