Active NPIIndividual providerSole proprietor

Jesseka J Collins I

Specialist in Tigard, Oregon

NPI Number1659720050
Practice location
14741 SW 109TH Avenue Apt 3, Tigard, OR 97224
Fax
—
Last updated
June 7, 2016

Jesseka J Collins I is a Specialist based in Tigard, OR. The NPI number for Jesseka J Collins I is 1659720050 and holds license No. 22091 (OR). The current practice location address is 14741 SW 109TH Avenue Apt 3, Tigard, OR 97224 and the office can be reached by phone at 541-786-8107. The NPI was assigned on June 7, 2016 and the record was last updated in NPPES on June 7, 2016.

●Provider Profile Details

NPI Number
1659720050
Provider Name
Jesseka Jean Collins
Entity Type
Individual (Type 1 NPI)
Gender
Female
Primary Taxonomy
Specialist · 174400000X
Sole Proprietor
Yes
Enumeration Date
June 7, 2016
Last Update Date
June 7, 2016
NPI Status
Active

◉Business Practice Location Address

Address
14741 SW 109TH Avenue Apt 3
Tigard, OR 97224
City
Tigard
State
Oregon
ZIP
97224
Country
US
Phone Number
541-786-8107

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✉Business Mailing Address

Address
14741 SW 109TH Ave Apt 3
Tigard, OR 97224-3211
City
Tigard
State
OR
ZIP
97224-3211
Phone Number
541-786-8107

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Specialist174400000XYes22091OR

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Jesseka J Collins I?

The NPI number of Jesseka J Collins I is 1659720050. It was assigned on June 7, 2016 and is currently active in the NPPES registry.

What is the specialty of Jesseka J Collins I?

Jesseka J Collins I is registered under the primary taxonomy Specialist (code 174400000X) and holds license No. 22091 (OR).

Where does Jesseka J Collins I practice?

The practice location is 14741 SW 109TH Avenue Apt 3, Tigard, OR 97224. The office can be reached at 541-786-8107 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1659720050 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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