Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSE EDWARD VANDER HEIDE
Active Sole ProprietorJESSE EDWARD VANDER HEIDE is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in PORTLAND, Oregon. NPI 1083240295 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · PORTLAND, OR
Registration Details
- NPI Number
- 1083240295
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 19, 2020 (6.4463782212176 yrs)
- Last Updated
- Mar 19, 2020
- License
-
200441630RN (OR)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3181 SW SAM JACKSON PARK RDPORTLAND, OR, 972393011Browse OR providers · Browse ZIP 97239
- Phone
- 5034943273
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
163WP2201X
Other Psychiatric/Mental Health Nurse Practitioner Providers in PORTLAND, OR
| Name | Credential | NPI |
|---|---|---|
| MR. JASON MICHAEL DUNN | RN | 1881739100 |
| ROBIN LEE WILCOX | RN | 1063607273 |
| TRUDY LYNN AU | R.N., B.S.N. | 1184948358 |
| TAMMY SHUMWAY | RN | 1841608676 |
| CRISTINA IGNACIO DEL ROSARIO | RN | 1164825725 |
| JULIE ANNE LARSON | RN-BSN | 1023557477 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.