Fong, Jessica

Fong, Jessica is an individual health care provider with primary practice located at 4560 Se International Way Ste 100 , Milwaukie OR 97222-4628. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Fong, Jessica can be contacted via phone (971) 206-5200.

Contact Information

Primary practice address
4560 Se International Way Ste 100 Milwaukie OR 97222-4628
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1912358409
LBN Legal business name Fong, Jessica
Credentials OTR/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2016
Last updated Jan 4th, 2017 - about 8 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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