Provider Demographics
NPI:1033524384
Name:AIKIN, JESSICA JEAN (PA-C)
Entity Type:Individual
Prefix:
First Name:JESSICA
Middle Name:JEAN
Last Name:AIKIN
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:JESSSICA
Other - Middle Name:
Other - Last Name:AIKIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PA-C
Mailing Address - Street 1:333 SE 7TH AVE STE 4350
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97123-4172
Mailing Address - Country:US
Mailing Address - Phone:503-844-8220
Mailing Address - Fax:503-844-8234
Practice Address - Street 1:333 SE 7TH AVE STE 4350
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OR
Practice Address - Zip Code:97123-4172
Practice Address - Country:US
Practice Address - Phone:503-844-8220
Practice Address - Fax:503-844-8234
Is Sole Proprietor?:No
Enumeration Date:2014-06-25
Last Update Date:2022-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORPA206530363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical