Individual
DR. JESSICA LEIGH VERSAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
330 S GARDEN WAY, SUITE 220, EUGENE, OR 97401-8176
(541) 686-7007
(541) 726-5028
Mailing address
PO BOX 1648, EUGENE, OR 97440-1648
(541) 686-7007
(541) 684-3074
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD155925
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144453143
NPI
—
05
—
500642003
—
OR
Enumeration date
08/25/2009
Last updated
07/28/2014
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