Macdougall, Jessica Dale

Macdougall, Jessica Dale is an sole proprietor health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd , Portland OR 97239-3011. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Macdougall, Jessica Dale can be contacted via phone (503) 494-4300.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Portland OR 97239-3011
Phone: (503) 494-4300
Fax: (503) 494-4323
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 238201 North Carolina
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X MD216054 Oregon

Profile Details

NPI number 1407345283
LBN Legal business name Macdougall, Jessica Dale
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2018
Last updated Sep 13th, 2023 - 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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