Caiazzo, Jaimie

Caiazzo, Jaimie is an individual health care provider with primary practice located at 9900 Se Sunnyside Rd , Clackamas OR 97015-9777. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Caiazzo, Jaimie can be contacted via phone (503) 813-2000.

Contact Information

Primary practice address
9900 Se Sunnyside Rd Clackamas OR 97015-9777
Phone: (503) 813-2000
Fax: (503) 571-8977
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA159681 Oregon

Profile Details

NPI number 1891018461
LBN Legal business name Caiazzo, Jaimie
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 10th, 2010
Last updated Dec 20th, 2021 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891018461 NPPES
Oregon MEDICAID 500647979

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