Individual
MS. JESSICA MAYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
122 SE 80TH AVE, PORTLAND, OR 97215-1522
(520) 603-9573
Mailing address
122 SE 80TH AVE, PORTLAND, OR 97215-1522
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
201394462NP-PP
OR
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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