Individual
JESSICA BLAKE CRITCHFIELD PATEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 652-2880
(503) 571-8539
Mailing address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(503) 652-2880
(503) 571-8539
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD00043534
WA
208M00000X
Hospitalist Physician
MD151195
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8402992
—
WA
Enumeration date
05/26/2006
Last updated
05/26/2010
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