Eastlick, Jessica Jeanne
Eastlick, Jessica Jeanne is an individual health care provider with primary practice located at 5051 Main Street , Springfield OR 97477-6934. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Eastlick, Jessica Jeanne can be contacted via phone (541) 357-4603.Contact Information
Primary practice address
5051 Main Street
Springfield OR 97477-6934
Phone: (541) 357-4603
Fax: (541) 995-5013
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | R5085 | Oregon |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | R5085 | Oregon |
Profile Details
| NPI number | 1982009320 |
|---|---|
| LBN Legal business name | Eastlick, Jessica Jeanne |
| Credentials | MA, CMHC, LPC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 28th, 2014 |
| Last updated | Apr 2nd, 2026 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982009320 | NPPES |
| Oregon | MEDICAID | 500796326 |
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