Individual
MRS. MEGAN KAYE JASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
17979 NE GLISAN ST, PORTLAND, OR 97230
(888) 227-3312
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.010173
IL
363A00000X
Physician Assistant
PA184037
OR
363A00000X
Physician Assistant
PA61081102
WA
Other
Enumeration date
05/18/2017
Last updated
09/09/2024
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