Burness, Jessica V

Burness, Jessica V is an individual health care provider with primary practice located at 10330 Se 32Nd Ave Suite 205, Milwaukie OR 97222-6587. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Burness, Jessica V can be contacted via phone (503) 513-8950.

Contact Information

Primary practice address
10330 Se 32Nd Ave Suite 205 Milwaukie OR 97222-6587
Phone: (503) 513-8950
Fax: (503) 513-8951
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD24832 Oregon

Profile Details

NPI number 1629034152
LBN Legal business name Burness, Jessica V
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2006
Last updated Feb 15th, 2021 - about 3 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 1629034152 NPPES
Oregon Other P00604895 RR MEDICARE
Oregon MEDICAID 275143 RR MEDICARE

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