JENNIFER BOTELHO, PA-C, Surgical PORTLAND, OR

Contact Information

JENNIFER BOTELHO, PA-C

1130 NW 22ND AVE STE 535
PORTLAND, OR 97210-2976

Phone: 503-274-4999
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgical	363AS0400X	97	Physician Assistant

Indicates primary specialty

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NPI Profile & details for JENNIFER BOTELHO · (Female)

NPI Number	`1891782751`
Status	Active
Credentials	PA-C (Physician Assistant-Certified)
Entity	Individual
Enumeration date	10/05/2005
Last updated	08/26/2011 - About 15 years ago
Sole proprietor ¹	No
Identifiers	OR License # PA00838 OR Medicaid PA00838 WA Medicaid 8404378 OR Other 191806 DOLI
Hospital affiliation(s)	COLUMBIA MEMORIAL HOSPITAL - (Critical Access) 2111 EXCHANGE STREET ASTORIA, OR 97103 LEGACY GOOD SAMARITAN MEDICAL CENTER - (Acute Care) 1015 NW 22ND AVENUE, W121 PORTLAND, OR 97210 OHSU HOSPITAL AND CLINICS - (Acute Care) 3181 SW SAM JACKSON PARK ROAD PORTLAND, OR 97239 PROVIDENCE ST VINCENT MEDICAL CENTER - (Acute Care) 9205 SW BARNES ROAD PORTLAND, OR 97225

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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JENNIFER BOTELHO, PA-C – NPI #1891782751Surgical

Contact Information

Specialty

Surgical

NPI Profile & details for JENNIFER BOTELHO · (Female)

Reviews for JENNIFER BOTELHO

JENNIFER BOTELHO, PA-C – NPI #1891782751
Surgical