JESSICA PHAM
NPI 1902462914
Student in an Organized Health Care Education/Training Program in Portland, OR

Active since May 15, 2019
19500 SE STARK ST, PORTLAND, OR 97233(360) 571-3084 Get Directions Write a Review

NPPES record last updated: May 15, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jessica Pham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JESSICA PHAM (NPI 1902462914) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since May 2019.

NPPES Registry Identity

NPI1902462914
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJESSICA PHAM
Location Address19500 SE STARK STPortland, OR 97233-5757
Mailing Address2300 Se 82nd Ave Unit 6Portland, OR 97216-1454
Sole ProprietorNo
Enumeration DateMay 15, 2019
NPI 1902462914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
19500 SE STARK ST, Portland, OR 97233

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
19500 SE STARK ST
PORTLAND, OR 97233
Nurse Practitioner (Family)
19500 SE STARK ST, PORTLAND
PORTLAND, OR 97233
Student in an Organized Health Care Education/Training Program
19500 SE STARK ST
PORTLAND, OR 97233
Counselor (Addiction (Substance Use Disorder))
19500 SE STARK ST
PORTLAND, OR 97233
Psychologist (Clinical)
19500 SE STARK ST
PORTLAND, OR 97233
Advanced Practice Midwife
19500 SE STARK ST
PORTLAND, OR 97233
Internal Medicine
19500 SE STARK ST
PORTLAND, OR 97233
Social Worker
19500 SE STARK ST
PORTLAND, OR 97233

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Pham's NPI number?

The NPI number for Jessica Pham is 1902462914. It was assigned to this individual provider in the NPPES registry on May 15, 2019.

Where is Jessica Pham located?

Jessica Pham practices at 19500 SE Stark St, Portland, OR 97233. The listed phone number is (360) 571-3084.

What is Jessica Pham's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jessica Pham was last updated on May 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.