Individual provider · Type 1 NPI

Kayla Jerde, PA-C

Medical Physician Assistant · Gresham, OR

NPI number 1497226716 Active

Practice location

24076 SE Stark St Ste 230
Gresham, OR 97030-3385

Call (503) 488-2600 Map

Fax (503) 465-5468

Mailing address

541 NE 20th Ave Ste 225
Portland, OR 97232-2895

Other practice locations

  • 1111 NE 99th Ave Ste 101, Portland, OR 97220-9442 · (503) 488-2626

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XPA191582 (OR)

Medical Physician Assistant: Definition to come...

6 other providers at this address

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About NPI 1497226716

Kayla Jerde, PA-C's National Provider Identifier is 1497226716, issued on Dec 14, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Gresham, OR. The record was last updated on Nov 11, 2024.