Individual
JESSICA ANNE BAELE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1700 NW 167TH PL STE 245, BEAVERTON, OR 97006-8110
(800) 834-6362
Mailing address
16489 FREDERICK ST, OREGON CITY, OR 97045-1190
(503) 756-6430
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA213374
OR
Other
Enumeration date
05/26/2020
Last updated
03/15/2023
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