Active NPI
Jessica Robin Dalcour, D.V.M.
- Veterinarian
- Wilsonville, OR
National Provider Identifier
1609115260
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 6035
- Practice address
- 29020 SW Town Center Loop E Ste 102
Wilsonville, OR 97070-9489 - Phone
- (503) 682-1794
- Fax
- (503) 682-2174
- NPI assigned
- Feb 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 6035 | OR | Primary |
Addresses
Primary practice location
29020 SW Town Center Loop E Ste 102
Wilsonville, OR 97070-9489
Mailing address
29020 SW Town Center Loop E Ste 102
Wilsonville, OR 97070-9489
Phone (503) 682-1794
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6035 | Other | OR | OVMEB LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1359676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359676800000",
"number": "1609115260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29020 SW TOWN CENTER LOOP E STE 102",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970709489",
"telephone_number": "503-682-1794",
"fax_number": "503-682-2174"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29020 SW TOWN CENTER LOOP E STE 102",
"city": "WILSONVILLE",
"state": "OR",
"postal_code": "970709489",
"telephone_number": "503-682-1794",
"fax_number": "503-682-2174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALCOUR",
"first_name": "JESSICA",
"middle_name": "ROBIN",
"name_prefix": "Dr.",
"credential": "D.V.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-01",
"last_updated": "2013-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "OR",
"license": "6035",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OVMEB LICENSE NUMBER",
"identifier": "6035",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wilsonville, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.