Crosland, Jesse Tyler

Crosland, Jesse Tyler is an individual health care provider with primary practice located at 9743 Se Wessex Way , Happy Valley OR 97086-7034. She recently has only one registered license in Nursing Service Providers / Medical-Surgical, which is considered as her primary health care specialty. Crosland, Jesse Tyler can be contacted via phone (619) 990-8519.

Contact Information

Primary practice address
9743 Se Wessex Way Happy Valley OR 97086-7034
Phone: (619) 990-8519
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Medical-Surgical 163WM0705X 201240286RN Oregon

Profile Details

NPI number 1952068017
LBN Legal business name Crosland, Jesse Tyler
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 23rd, 2021
Last updated Nov 23rd, 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 1952068017 NPPES
Oregon Other 23565982 KAISER PERMANENTE

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