Individual provider · Type 1 NPI

Jessica Blair Gallo

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1184802001 Active

Practice location

1500 NE Irving St, Suite 250
Portland, OR 97232-2243

Call (503) 233-4356 Map

Mailing address

3000 SW Corbeth Ln, Apt. 101
Troutdale, OR 97060-3177

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1184802001

Jessica Blair Gallo's National Provider Identifier is 1184802001, issued on Feb 1, 2008. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Feb 1, 2008.