Individual
MRS. JESSICA ASHLEY BARBOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2850 SE POWELL VALLEY RD, SUITE 100, GRESHAM, OR 97080-1494
(503) 666-5050
(503) 666-5050
Mailing address
9450 SW BARNES RD STE 100, PORTLAND, OR 97225-6642
(503) 384-2036
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
160160
OR
Other
Enumeration date
10/16/2012
Last updated
02/01/2022
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