Jessica Anne Carroll - Portland, OR

Jessica Anne Carroll

Student in an Organized Health Care Education/Training Program in Portland, Oregon

NPI 1780196634

Jessica Anne Carroll is a Student in an Organized Health Care Education/Training Program based in Gresham, OR. Jessica Anne Carroll practices in Portland, OR. The NPI Number for Jessica Anne Carroll is 1780196634 and holds a License No. (Oregon).

The current practice location address for Jessica Anne Carroll is 14600 Nw Cornell Rd, Portland, OR and can be reached out via phone at 503-645-3581.

Location: 14600 Nw Cornell Rd, Portland, OR, 97030-8438

NPI Number

1780196634

Provider Name

Jessica Anne Carroll

Credential

Provider Entity Type

Individual

Gender

Female

Address

14600 Nw Cornell Rd, Portland, OR, 97030-8438

Phone Number

503-645-3581

Fax Number

Provider Enumeration Date

11/01/2017

Last Update Date

03/10/2024

Address

14600 Nw Cornell Rd

City

Portland

State

Oregon

Zip

97229-5442

Phone Number

503-645-3581

Fax Number

Address

14600 Nw Cornell Rd

City

Portland

State

Oregon

Zip

97229-5442

Phone Number

503-645-3581

Fax Number

Type

Student, Health Care

Classification

Student in an Organized Health Care Education/Training Program

Speciality

Taxonomy

390200000X

License No.

()

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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