JESSICA DALE MACDOUGALL
Individual Provider (NPI-1)
Active
Allergy & Immunology
Provider Information
- NPI Number
1407345283- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 3181 SW SAM JACKSON PARK RD, PORTLAND, OR, 972393011
- Phone
- (503) 494-4300
- Fax
- (503) 494-4323
Specialties & Taxonomies
Student in an Organized Health Care Education/Training Program
License: NC #238201
Allergy & Immunology
Primary License: OR #MD216054