Staggs, Jesse W

Staggs, Jesse W is an individual health care provider with primary practice located at 3615 Nw Samaritan Dr Ste 210 , Corvallis OR 97330-3771. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Staggs, Jesse W can be contacted via phone (541) 768-4501.

Contact Information

Primary practice address
3615 Nw Samaritan Dr Ste 210 Corvallis OR 97330-3771
Phone: (541) 768-4501
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X LL17393 Oregon
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0004251 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA01277 Oregon

Profile Details

NPI number 1235324708
LBN Legal business name Staggs, Jesse W
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2007
Last updated Nov 11th, 2020 - about 5 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.

Request for update

Popular Providers