Individual provider · Type 1 NPI

Jessie Lynne Vandor, PA

Medical Physician Assistant · Portland, OR

NPI number 1740062991 Active

Practice location

3303 S Bond Ave
Portland, OR 97239-4501

Call (503) 494-4373 Map

Fax (503) 418-4189

Other practice locations

  • 3485 S Bond Ave Bldg 2, Portland, OR 97239-4503 · (503) 494-4373

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA223585 (OR)
Medical Physician Assistant Primary 363AM0700XPA223585 (OR)
Medical Physician Assistant 363AM0700XPA.PA.61659084 (WA)

Medical Physician Assistant: Definition to come...

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About NPI 1740062991

Jessie Lynne Vandor, PA's National Provider Identifier is 1740062991, issued on Oct 20, 2023. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Sep 1, 2026.