Individual
JACLYNNE MARIE HEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3303 S BOND AVE BLDG 1, PORTLAND, OR 97239-4501
(503) 418-3700
Mailing address
3303 S BOND AVE BLDG 1, PORTLAND, OR 97239-4501
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
2021022958
MO
207VE0102X
Reproductive Endocrinology Physician
Primary
MD224179
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2021
Last updated
09/15/2025
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