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General NPI Number Information
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NPI Number | 1912870551
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Entity Type | Individual
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Provider Name | JESSICA GIRSBERGER RN, MSN, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 07/30/2026
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Provider Practice Location Address
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Address Line | 917 SW OAK ST STE 417
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City | PORTLAND
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State | OR
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Zip | 97205-2807
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Country | US
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Telephone | 503-208-4222
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Fax |
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Provider Business Mailing Address
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Address Line | 905 COUNTRY CLUB RD
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City | LAKE OSWEGO
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State | OR
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Zip | 97034-2172
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Country | US
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Telephone | 503-318-6590
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 10062058
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License Number State | OR
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