Individual
MR. JESS M MEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
24076 SE STARK ST, SUITE 110, GRESHAM, OR 97030-3373
(503) 661-5388
(503) 666-9393
Mailing address
24076 SE STARK ST, SUITE 110, GRESHAM, OR 97030-3373
(503) 661-5388
(503) 666-9393
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
PA10004678
WA
363AS0400X
Surgical Physician Assistant
Primary
PA151986
OR
Other
Enumeration date
07/14/2006
Last updated
10/29/2010
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