Individual
MS. JESSICA M GUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3060 SE HAWTHORNE BLVD STE 1, PORTLAND, OR 97214-4121
(800) 813-2000
Mailing address
520 MAIN ST, DOWAGIAC, MI 49047-1762
(269) 783-3052
(269) 783-2063
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA186396
OR
363A00000X
Physician Assistant
PA60881550
WA
Other
Enumeration date
07/03/2014
Last updated
12/21/2021
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