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Contact Information

JENNIFER P MAYBERRY, MD
233 NE 102ND AVE
PORTLAND, OR97220
 Phone: 503-253-1105
 Fax: 503-535-8398
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for JENNIFER P MAYBERRY · (Female)

NPI Number 1467565671
Status Active
Credentials MD
Entity Individual
Enumeration date 08/15/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD24376
Hospital affiliation(s)
  • PALOMAR MEDICAL CENTER - (Acute Care)
    555 E VALLEY PARKWAY
    ESCONDIDO, CA 92025
  • POMERADO HOSPITAL - (Acute Care)
    15615 POMERADO ROAD
    POWAY, CA 92064
  • TRI-CITY MEDICAL CENTER - (Acute Care)
    4002 VISTA WAY
    OCEANSIDE, CA 92056
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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