Dr. Jesse Bledsoe, PHD
Clinical Neuropsychologist in Bend, Oregon
1891100871- Practice location
- 2500 NE Neff RD, Bend, OR 97701-6015
- Phone
- 541-382-4321
- Fax
- —
- Last updated
- September 11, 2020
Dr. Jesse Bledsoe, PHD is a Clinical Neuropsychologist based in Bend, OR. Dr. Jesse Bledsoe, PHD holds the professional credentials of PHD. The NPI number for Dr. Jesse Bledsoe, PHD is 1891100871 and holds license No. 3257 (OR). The current practice location address is 2500 NE Neff RD, Bend, OR 97701-6015 and the office can be reached by phone at 541-382-4321. The NPI was assigned on June 27, 2014 and the record was last updated in NPPES on September 11, 2020.
●Provider Profile Details
- NPI Number
- 1891100871
- Provider Name
- Jesse Bledsoe
- Credential
- PHD
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Male
- Primary Taxonomy
- Clinical Neuropsychologist · 103G00000X
- Sole Proprietor
- No
- Enumeration Date
- June 27, 2014
- Last Update Date
- September 11, 2020
- Certification Date
- September 11, 2020
- NPI Status
- Active
◉Business Practice Location Address
- Address
- 2500 NE Neff RD
Bend, OR 97701-6015 - City
- Bend
- State
- Oregon
- ZIP
- 97701-6015
- Country
- US
- Phone Number
- 541-382-4321
✉Business Mailing Address
- Address
- 2500 NE Neff RD
Bend, OR 97701-6015 - City
- Bend
- State
- OR
- ZIP
- 97701-6015
- Phone Number
- 541-382-4321
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Clinical Neuropsychologist | 103G00000X | Yes | 3257 | OR |
| Clinical Neuropsychologist | 103G00000X | No | PY60461429 | WA |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
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View all providers in Bend →?Frequently Asked Questions
What is the NPI number of Dr. Jesse Bledsoe, PHD?
The NPI number of Dr. Jesse Bledsoe, PHD is 1891100871. It was assigned on June 27, 2014 and is currently active in the NPPES registry.
What is the specialty of Dr. Jesse Bledsoe, PHD?
Dr. Jesse Bledsoe, PHD is registered under the primary taxonomy Clinical Neuropsychologist (code 103G00000X) and holds license No. 3257 (OR).
Where does Dr. Jesse Bledsoe, PHD practice?
The practice location is 2500 NE Neff RD, Bend, OR 97701-6015. The office can be reached at 541-382-4321 (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 1891100871 directly on the NPPES registry website at npiregistry.cms.hhs.gov.