Individual
JESSICA TODSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8211
Mailing address
1959 NE PACIFIC STREET, BOX 356521, HEALTH SCIENCES BUILDING, BB-1271, SEATTLE, WA 98195
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
ML61680268
WA
390200000X
Student in an Organized Health Care Education/Training Program
PG210678
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2022
Last updated
06/22/2025
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