Individual
JESSICA HYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5240 NE ELAM YOUNG PKWY STE 100, HILLSBORO, OR 97124-6438
(503) 347-5078
Mailing address
5415 SW WESTGATE DR, PORTLAND, OR 97221-2409
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
107425
OR
Other
Enumeration date
10/13/2022
Last updated
10/13/2022
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