Individual
JESSICA GILBERTSON HITCHCOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4805 NE GLISAN ST, E3, PORTLAND, OR 97213-2933
(503) 284-8841
(503) 282-3302
Mailing address
3439 NE SANDY BLVD, PMB 375, PORTLAND, OR 97232
(503) 284-8841
(503) 282-3302
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MD23993
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286343
—
OR
Enumeration date
07/21/2005
Last updated
09/01/2017
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