# JESSICA G ROBERTS, MD, PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811086747
- **Authorized official:** DR. JESSICA ROBERTS MD (OWNER)
- **Authorized official phone:** (503) 319-4966

## Contact information

- **Practice address:** 4805 NE GLISAN ST, PORTLAND, OR 97213-2933
- **Practice address phone:** (503) 319-4966
- **Mailing address:** 3439 NE SANDY BLVD, PMB 375, PORTLAND, OR 97232-1959
- **Mailing address phone:** (503) 284-8841
- **Mailing address fax:** (503) 282-3302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084P0804X | Child & Adolescent Psychiatry Physician | MD23993 | OR | Yes |

## Other

- **Enumeration date:** 10/11/2006
- **Last updated:** 08/22/2020