| Doctor Name: | JENNINE MARIE VARHOLA |
| NPI Number: | 1164508768 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DO |
| License Number: | DO150801 |
| Business Practice Address: | 5050 Ne Hoyt St Suite 362 Portland, OR - 972132991 |
| Business Phone Number: | 5032396800 |
| Business Fax Number: | 5032390006 |
| Mailing Address: | 847 Ne 19th Ave, Suite 300 PORTLAND |
| State: | OR |
| Postal Code: | 972322684 |
| Phone Number: | 5039632801 |
| Fax Number: | 5039632825 |
| NPI Enumeration Date: | 10/27/2006 |
| NPI Last Update Date: | 05/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207V00000X |
| License Number: | DO150801 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |