Jeana Lyn Summers
Family Doctor Neuromusculoskeletal Medicine (NMM) Pediatric Orthopaedic Surgeon
11782 Sw Barnes Rd Ste 300
Portland
, Oregon 97225-5933
Jeana Lyn Summers
Family Doctor Neuromusculoskeletal Medicine (NMM) Pediatric Orthopaedic Surgeon
11782 Sw Barnes Rd Ste 300
Portland
, Oregon 97225-5933
(503) 906-6613
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About
Features
Specialties
- Neuromusculoskeletal Medicine (NMM)
- Family Doctor
- Pediatric Orthopaedic Surgeon
Languages spoken
- English
Location
First Address
- Jeana Lyn Summers
- 11782 Sw Barnes Rd Ste 300
- Portland, OR
- Zip : 97225-5933
- Fax : (503) 906-6613
- Phone : (503) 214-5200
Second Address
- Jeana Lyn Summers
- 11782 Sw Barnes Rd Ste 300
- Portland, OR
- Zip : 97225-5933
- Fax : (503) 906-6613
- Phone : (503) 214-5200
Reviews
FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204D00000X | Neuromusculoskeletal Medicine (NMM) | DO193479 | OR |
| Y | 207Q00000X | Family Doctor | DO193479 | OR |
| N | 207XP3100X | Pediatric Orthopaedic Surgeon | DO193479 | OR |
National Provider Identifier
| NPI | 1902242506 |
|---|---|
| Provider Name | Jeana Lyn Summers |
| First Address | Portland, OR 97225-5933 |
| Second Address | Portland, OR 97225-5933 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/05/2013 |
| Last Update Date | 03/06/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5800764870 | (05) | OR |
| DO193479 | OREGON MEDICAL LICENSE (01) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.