Individual
DR. KRISTY LANE JESSOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3521 NW SAMARITAN DR, SUITE 201, CORVALLIS, OR 97330-4744
(541) 768-5140
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
157473
OR
Other
Enumeration date
07/26/2011
Last updated
09/11/2021
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