Thiessen, Jaclyn
Thiessen, Jaclyn is an individual health care provider with primary practice located at Oregon Health And Science University 3181 Sam Jackson Pk Rd., L340, Portland OR 97239. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Thiessen, Jaclyn can be contacted via phone (503) 494-9000.Contact Information
Primary practice address
Oregon Health And Science University 3181 Sam Jackson Pk Rd., L340
Portland OR 97239
Phone: (503) 494-9000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging | 2085D0003X | MD198169 | Oregon |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD198169 | Oregon |
Profile Details
NPI number | 1376962068 |
---|---|
LBN Legal business name | Thiessen, Jaclyn |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 10th, 2014 |
Last updated | May 12th, 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.
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