Jessica G Roberts, Md, Pc

LBN: Jessica G Roberts, Md, Pc
Jessica G Roberts, Md, Pc is an health care organization with primary practice located at 4805 Ne Glisan St , Portland OR 97213-2933. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as the primary health care specialty. Jessica G Roberts, Md, Pc can be contacted via phone (503) 319-4966, or through Roberts, Jessica via phone (503) 319-4966.

Contact Information

Primary practice address
4805 Ne Glisan St Portland OR 97213-2933
Phone: (503) 319-4966
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Roberts, Jessica Doctor of Medicine (MD)
Phone: (503) 319-4966

Health care specialties

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

Profile Details

NPI number 1811086747
LBN Legal business name Jessica G Roberts, Md, Pc
DBA Doing business as
Authorized official Roberts, Jessica Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811086747 NPPES
Oregon MEDICAID 286343

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