Individual
JESSICA ALEXANDRA SUM SIQUINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1585 N PACIFIC HWY STE E, WOODBURN, OR 97071-3665
(503) 510-8135
Mailing address
8745 SUNNYVIEW RD NE, SALEM, OR 97305-9549
(503) 830-8707
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
10042713
OR
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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