Individual provider · Type 1 NPI
Jaclyn Thiessen
Diagnostic Radiology Physician · Portland, OR
NPI number
1376962068
Active
Practice location
Oregon Health And Science University, 3181 Sam Jackson Pk Rd., L340
Portland, OR 97239
Other practice locations
- 3181 Sam Jackson Park Rd. L-579, Ohsu, Portland, OR 97239 · (503) 494-8211
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Neuroimaging (Radiology) Physician | 2085D0003X | MD198169 (OR) |
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Diagnostic Radiology Physician Primary | 2085R0202X | MD198169 (OR) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Another provider at this address
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- Elizabeth Shimoura, MDDiagnostic Radiology Physician Portland, OR NPI 1013718980
- Hans Guenter Wandel, MDDiagnostic Radiology Physician Portland, OR NPI 1013922517
- Steven Lloyd Primack, MDDiagnostic Radiology Physician Portland, OR NPI 1013925577
- D. Bradley Koslin, MDDiagnostic Radiology Physician Portland, OR NPI 1023023520
About NPI 1376962068
Jaclyn Thiessen's National Provider Identifier is 1376962068, issued on Apr 10, 2014. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Portland, OR. The record was last updated on May 12, 2020.