Dr JESSE M POWELL is a male medical professional, specializing in Internal Medicine. He graduated in 2012 from University Of Utah School Of Medicine.
PROVIDENCE HEALTH AND SERVICES OREGON
16180 SE SUNNYSIDE RD
102 PROV MED GR HAP VALL
HAPPY VALLEY
OR
970156379
Tel: 5035824900
| Npi | 1467710095 |
| Pac Id | 2769622497 |
| Professional Enrollment Id | I20141009002238 |
| Last Name | POWELL |
| First Name | JESSE |
| Middle Name | M |
| Suffix | |
| Gender | M |
| Credential | |
| Medical School Name | UNIVERSITY OF UTAH SCHOOL OF MEDICINE |
| Graduation Year | 2012 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialty 1 | |
| Secondary Specialty 2 | |
| Secondary Specialty 3 | |
| Secondary Specialty 4 | |
| All Secondary Specialties | |
| Organization Legal Name | PROVIDENCE HEALTH AND SERVICES OREGON |
| Group Practice Pac Id | 0648183608 |
| Number Of Group Practice Members | 1139 |
| Line 1 Street Address | 16180 SE SUNNYSIDE RD |
| Line 2 Street Address | 102 PROV MED GR HAP VALL |
| Marker Of Address Line 2 Suppression | |
| City | HAPPY VALLEY |
| State | OR |
| Zip Code | 970156379 |
| Phone Number | 5035824900 |
| Hospital Affiliation Ccn 1 | 380061 |
| Hospital Affiliation Lbn 1 | PROVIDENCE PORTLAND MEDICAL CENTER |
| Hospital Affiliation Ccn 2 | 380082 |
| Hospital Affiliation Lbn 2 | PROVIDENCE MILWAUKIE HOSPITAL |
| Hospital Affiliation Ccn 3 | 380004 |
| Hospital Affiliation Lbn 3 | PROVIDENCE ST VINCENT MEDICAL CENTER |
| Hospital Affiliation Ccn 4 | |
| Hospital Affiliation Lbn 4 | |
| Hospital Affiliation Ccn 5 | |
| Hospital Affiliation Lbn 5 | |
| Professional Accepts Medicare Assignment | Y |
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