Individual
MRS. JESSICA KINGSBURY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
615 S PALATINE HILL RD, MSC 133, PORTLAND, OR 97219
(503) 768-7165
(503) 768-7167
Mailing address
615 S PALATINE HILL RD, MSC 133, PORTLAND, OR 97219
(503) 768-7165
(503) 768-7167
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
201141444RN
OR
363LA2100X
Acute Care Nurse Practitioner
Primary
201405480NP-PP
OR
363LF0000X
Family Nurse Practitioner
201405480NP-PP
OR
Other
Enumeration date
08/25/2014
Last updated
12/15/2025
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