Individual
DR. JESSICA ANNE BAILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, OREGON HEALTH & SCIENCE UNIVERSITY, DEPT OF PEDIATRICS, PORTLAND, OR 97239
(503) 418-5170
(503) 418-5337
Mailing address
3181 SW SAM JACKSON PARK RD, CDRC-P, OREGON HEALTH & SCIENCE UNIVERSITY, DEPT OF PEDIATRICS, PORTLAND, OR 97239
(503) 418-5170
(503) 418-5337
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
157562
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
157562
UNLIMITED MEDICAL LICENSE
OR
Enumeration date
05/05/2009
Last updated
03/07/2023
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