Individual
JESSICA KAY ADAMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
6419 SE 134TH AVE, PORTLAND, OR 97236-4540
(509) 237-8482
Mailing address
6419 SE 134TH AVE, PORTLAND, OR 97236-4540
(509) 237-8482
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
202107809NP
OR
Other
Enumeration date
11/08/2021
Last updated
11/08/2021
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