Jessica I Schlump, PA-C
Individual provider Active NPI Physician Assistant · Stayton, OR
NPI 1821134933 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1821134933
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- PA01084 (OR)
- Practice address
- 1369 N 10TH Ave
Stayton, OR 97383-2037 - Phone
- (503) 769-8470
- Fax
- (503) 769-9860
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA01084 | OR | MD | Physician Assistant |
Interoperability endpoints
- jschlump19079@direct.lhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA01084 | OR | Yes |
Addresses
Primary practice location
1369 N 10TH Ave
Stayton, OR 97383-2037
Mailing address
1369 N 10TH Ave
Stayton, OR 97383-2037
Phone (503) 769-8470
Other providers in Stayton, OR
- Santiam Memorial Hospital
- Santiam Memorial Hospital ER Group
- Santiam Mobile Medicine LLC
- Santiam Orthopaedics LLC
- Lori Jo Schelske
- Dean Schrunk
- Chrystal Dawn Schwartz
- Daniel Scott Schweigert
- Fay E Seppala
- Patricia Marie Sherman
All providers in Stayton, OR · Physician Assistant in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.