Mehta, Jessica N
Mehta, Jessica N is an individual health care provider with primary practice located at 18040 Sw Lower Boones Ferry Rd Suite 100, Tigard OR 97224-7258. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Mehta, Jessica N can be contacted via phone (503) 216-0770.Contact Information
Primary practice address
18040 Sw Lower Boones Ferry Rd Suite 100
Tigard OR 97224-7258
Phone: (503) 216-0770
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | MD26617 | Oregon |
Profile Details
| NPI number | 1346289923 |
|---|---|
| LBN Legal business name | Mehta, Jessica N |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Oct 20th, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346289923 | NPPES |
| Oregon | Other | P00468706 | RR MEDICARE |
| Oregon | MEDICAID | 028278 | RR MEDICARE |
| Oregon | Other | P00443453 | RR MEDICARE |
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