Individual
MS. NATHALIE J. JACQMOTTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6327 SE MILWAUKIE AVE, PORTLAND, OR 97202-5418
(503) 659-4988
(503) 353-1297
Mailing address
PO BOX 22075, MILWAUKIE, OR 97269-2075
(503) 659-4777
(503) 652-5223
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD24071
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080189564
RR MEDICARE
OR
05
—
286689
—
OR
Enumeration date
11/29/2005
Last updated
10/31/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us