Bentura Jimenez, Jessica

Bentura Jimenez, Jessica is an individual health care provider with primary practice located at 16100 Nw Cornell Rd Ste 220 , Beaverton OR 97006-7334. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Bentura Jimenez, Jessica can be contacted via phone (503) 878-8885.

Contact Information

Primary practice address
16100 Nw Cornell Rd Ste 220 Beaverton OR 97006-7334
Phone: (503) 878-8885
Fax: (971) 297-1360
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 202113889NPPP Oregon

Profile Details

NPI number 1285392126
LBN Legal business name Bentura Jimenez, Jessica
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 7th, 2021
Last updated Apr 28th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285392126 NPPES
Washington Other AP61245165 ADVANCED REGISTERED NURSE PRACTITIONER LICENSE
Washington Other 202113889NP-PP ADVANCED REGISTERED NURSE PRACTITIONER LICENSE

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