Individual provider · Type 1 NPI

Jessica Pham

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

NPI number 1902462914 Active

Practice location

19500 SE Stark St
Portland, OR 97233-5757

Call (360) 571-3084 Map

Mailing address

2300 SE 82nd Ave Unit 6
Portland, OR 97216-1454

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 1902462914

Jessica Pham's National Provider Identifier is 1902462914, issued on May 15, 2019. 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 May 15, 2019.