Jessamine Michelle Maiben
Contact Lens
19400 Nw Evergreen Pkwy
Hillsboro
, Oregon 97124-7031
Jessamine Michelle Maiben
Contact Lens
19400 Nw Evergreen Pkwy
Hillsboro
, Oregon 97124-7031
(503) 267-1347
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About
Features
Specialties
- Contact Lens
Languages spoken
- English
Location
First Address
- Jessamine Michelle Maiben
- 906 Crestview Dr
- Newberg, OR
- Zip : 97132-1239
- Phone : (503) 267-1347
Second Address
- Jessamine Michelle Maiben
- 19400 Nw Evergreen Pkwy
- Hillsboro, OR
- Zip : 97124-7031
- Phone : (503) 690-5005
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 156FC0800X | Contact Lens |
National Provider Identifier
| NPI | 1083709950 |
|---|---|
| Provider Name | Jessamine Michelle Maiben |
| First Address | Newberg, OR 97132-1239 |
| Second Address | Hillsboro, OR 97124-7031 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/10/2006 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.