| Jessica G Roberts, Md, Pc | |
|
4805 Ne Glisan St Portland OR 97213-2933 | |
| (503) 319-4966 | |
| Not Available |
| Full Name | Jessica G Roberts, Md, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 4805 Ne Glisan St, Portland, Oregon |
| Authorized Official Name and Position | Jessica Roberts (OWNER) |
| Authorized Official Contact | 5033194966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica G Roberts, Md, Pc 3439 Ne Sandy Blvd Pmb 375 Portland OR 97232-1959 Ph: (503) 284-8841 | Jessica G Roberts, Md, Pc 4805 Ne Glisan St Portland OR 97213-2933 Ph: (503) 319-4966 |
| NPI Number | 1811086747 |
|---|---|
| Provider Enumeration Date | 10/11/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811086747 | NPI | - | NPPES |
| 286343 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | MD23993 (Oregon) | Primary |
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