Hitchcock, Jessica Gilbertson

Hitchcock, Jessica Gilbertson is an sole proprietor health care provider with primary practice located at 4805 Ne Glisan St E3, Portland OR 97213-2933. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Hitchcock, Jessica Gilbertson can be contacted via phone (503) 284-8841.

Contact Information

Primary practice address
4805 Ne Glisan St E3 Portland OR 97213-2933
Phone: (503) 284-8841
Fax: (503) 282-3302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X MD23993 Oregon

Profile Details

NPI number 1477552305
LBN Legal business name Hitchcock, Jessica Gilbertson
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 21st, 2005
Last updated Sep 1st, 2017 - about 9 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 1477552305 NPPES
Oregon MEDICAID 286343

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