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Contact Information

BRISA S JESSUP, NP
2801 N GANTENBEIN AVE FL 5
PORTLAND, OR97227-1623
 Phone: 502-276-6500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

363LP0200X 50 Nurse Practitioner
 

Pediatric Critical Care Medicine

2080P0203X 37 Physician/Pediatric Medicine
 

Pediatrics, Critical Care

363LP0222X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BRISA S JESSUP · (Female)

NPI Number 1578255741
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 05/24/2023
Last updated 07/17/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • OR License # 10008584
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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