Carroll, Jessica Anne

Carroll, Jessica Anne is an individual health care provider with primary practice located at 14600 Nw Cornell Rd , Portland OR 97229-5442. She recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as her primary health care specialty. Carroll, Jessica Anne can be contacted via phone (503) 645-3581.

Contact Information

Primary practice address
14600 Nw Cornell Rd Portland OR 97229-5442
Fax:
Website:

Health care specialties

Profile Details

NPI number 1780196634
LBN Legal business name Carroll, Jessica Anne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2017
Last updated Nov 1st, 2017 - 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.

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