Jessup, Brisa Salome

Jessup, Brisa Salome is an individual health care provider with primary practice located at 2801 N Gantenbein Ave Fl 5 , Portland OR 97227-1623. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Jessup, Brisa Salome can be contacted via phone (502) 276-6500.

Contact Information

Primary practice address
2801 N Gantenbein Ave Fl 5 Portland OR 97227-1623
Phone: (502) 276-6500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine 2080P0203X 10008584 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Critical Care 363LP0222X 10008584 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 10008584 Oregon

Profile Details

NPI number 1578255741
LBN Legal business name Jessup, Brisa Salome
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2023
Last updated Jul 17th, 2023 - 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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