Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jillian K Rosenthal, ANP

Individual provider Nurse Practitioner · NPI 1730748732

Jillian K Rosenthal, ANP is a Nurse Practitioner in Portland, Oregon. Qualified in 2019, 7 years ago. Practices with Northwest Renal Clinic Inc, a 39-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Oregon and Washington.

Years since qualifying
7
Licensed in
OR, WA
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

10201 SE Main St Ste 27
Portland, OR 97216-2937
Phone: (503) 256-0877
Fax: (503) 256-4188
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 202007157NP (OR)
Nurse Practitioner Taxonomy 363L00000X · Licence AP61096051 (WA)

Record details

NPI number1730748732
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedJune 12, 2019
Last updated in NPPESSeptember 25, 2025
Certification dateSeptember 25, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Northwest Renal Clinic Inc — 39 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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