JESSICA G ROBERTS MD PC NPI 1811086747

NPI Information

NPI: 1811086747
Provider Name: JESSICA G ROBERTS, MD, PC
Classification: Psychiatry & Neurology - 2084P0804X
Specialization: Child & Adolescent Psychiatry
Entity Type: Organization
Address: 4805 NE GLISAN ST
PORTLAND, OR
ZIP 97213
Phone: (503) 319-4966

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NPI Details

JESSICA G ROBERTS, MD, PC is a child and adolescent psychiatry psychiatry neurology in Portland, OR. The provider is child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. JESSICA G ROBERTS, MD, PC NPI is 1811086747. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4805 NE GLISAN ST
PORTLAND, OR
ZIP 97213-933
Phone: (503) 319-4966

The provider's authorized official is Jessica Roberts .
The authorized official title is Owner and has the following contact phone number (503) 319-4966.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084P0804X	Psychiatry & Neurology	Child & Adolescent Psychiatry	MD23993	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	286343	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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