Jessica Alexandra Sum Siquina, NP

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

10042713 Issued in OR

Practice address

1585 N Pacific Hwy Ste E
Woodburn, OR 97071-3665

Phone

(503) 510-8135

NPI assigned

Apr 2, 2025

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743552000000",
    "number": "1609670306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8745 SUNNYVIEW RD NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973059549",
            "telephone_number": "503-830-8707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 N PACIFIC HWY STE E",
            "city": "WOODBURN",
            "state": "OR",
            "postal_code": "970713665",
            "telephone_number": "503-510-8135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUM SIQUINA",
        "first_name": "JESSICA",
        "middle_name": "ALEXANDRA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "OR",
            "license": "10042713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Woodburn, OR
• Providers in Woodburn, OR by specialty
• Primary Care Clinic/Center in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.