Individual
JOCELYN M EARLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE SJH-2, PORTLAND, OR 97239-3011
(503) 494-4910
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OMBPA179664
OR
363A00000X
Physician Assistant
PA179664
OR
363AM0700X
Medical Physician Assistant
Primary
OMBPA179664
OR
Other
Enumeration date
08/05/2016
Last updated
01/15/2021
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