Spies, Jessica A

Spies, Jessica A is an individual health care provider with primary practice located at 9750 Sw Nimbus Ave , Beaverton OR 97008-7172. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is her primary health care specialty. Spies, Jessica A can be contacted via phone (503) 906-7300.

Contact Information

Primary practice address
9750 Sw Nimbus Ave Beaverton OR 97008-7172
Phone: (503) 906-7300
Fax: (503) 245-8219
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD27878 Oregon
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X MD27878 Oregon

Profile Details

NPI number 1487635371
LBN Legal business name Spies, Jessica A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2005
Last updated Jan 23rd, 2024 - about 8 months 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 1487635371 NPPES
Oregon MEDICAID 500623434

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