Individual
JESSICA M HARPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
12400 NW CORNELL RD STE 100, PORTLAND, OR 97229-5689
(503) 291-4000
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA214862
OR
363AM0700X
Medical Physician Assistant
214862
OR
Other
Enumeration date
01/07/2022
Last updated
10/27/2023
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