Jerde, Kayla

Jerde, Kayla is an individual health care provider with primary practice located at 24076 Se Stark St Ste 230 , Gresham OR 97030-3385. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Jerde, Kayla can be contacted via phone (503) 488-2600.

Contact Information

Primary practice address
24076 Se Stark St Ste 230 Gresham OR 97030-3385
Phone: (503) 488-2600
Fax: (503) 465-5468
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA191582 Oregon

Profile Details

NPI number 1497226716
LBN Legal business name Jerde, Kayla
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2018
Last updated Nov 28th, 2023 - about 3 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 1497226716 NPPES
Washington MEDICAID 2115765
Washington MEDICAID 500758641

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