person
Jessica Pham
Student in an Organized Health Care Education/Training Program in Portland, Oregon
NPI 1902462914

Jessica Pham is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Jessica Pham practices in Portland, OR. The NPI Number for Jessica Pham is 1902462914 and holds a License No. (Oregon).

The current practice location address for Jessica Pham is 19500 Se Stark St, Portland, OR and can be reached out via phone at 360-571-3084.

Location: 19500 Se Stark St, Portland, OR, 97216-1454
person
Provider Profile Details
NPI Number
1902462914
Provider Name
Jessica Pham
Credential
Provider Entity Type
Individual
Gender
Female
Address
19500 Se Stark St, Portland, OR, 97216-1454
Phone Number
360-571-3084
Fax Number
Provider Enumeration Date
05/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
19500 Se Stark St
City
State
Zip
97233-5757
Phone Number
360-571-3084
Fax Number
person
Provider Business Mailing Address Details
Address
19500 Se Stark St
City
State
Zip
97233-5757
Phone Number
360-571-3084
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
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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