Individual provider · Type 1 NPI

Jessie Nugent

Specialist · Portland, OR

NPI number 1124900915 Active

Practice location

2031 SE Belmont St
Portland, OR 97214-2812

Call (907) 854-5023 Map

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XBAP-E-10258400 (OR)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1124900915

Jessie Nugent's National Provider Identifier is 1124900915, issued on Jul 23, 2025. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Portland, OR. The record was last updated on Dec 19, 2025.