Provider Demographics
NPI:1386796266
Name:HUFFMAN, JENNIFER CLARE (MD)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:CLARE
Last Name:HUFFMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:501 N GRAHAM ST
Mailing Address - Street 2:SUITE 330A
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97227-1654
Mailing Address - Country:US
Mailing Address - Phone:503-413-3600
Mailing Address - Fax:503-413-3621
Practice Address - Street 1:501 N GRAHAM ST
Practice Address - Street 2:SUITE 330A
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97227-1654
Practice Address - Country:US
Practice Address - Phone:503-413-3600
Practice Address - Fax:503-413-3621
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2009-11-17
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDP171202084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology