JACLYN THIESSEN – NPI #1376962068
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Health Care Provider Taxonomy Code for Radiology

JACLYN THIESSEN is a radiologist located in PORTLAND, OR. NPPES has assigned the NPI number 1376962068 to JACLYN THIESSEN on April 10, 2014. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 6 years ago on May 12, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JACLYN THIESSEN below.

NPI Profile for
JACLYN THIESSEN

NPI Number
1376962068
Enumeration Date

(more than 12 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JACLYN THIESSEN
Primary location
OREGON HEALTH AND SCIENCE UNIVERSITY
3181 SAM JACKSON PK RD., L340
PORTLAND, OR 97239
Phone: (503) 494-9000 Fax:
1 Other location(s):
3181 Sam Jackson Park Rd. L-579
OHSU
Portland, OR 97239
Phone: (503) 494-8211
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
May 12, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)		 OR MD198169
390200000X
- Student in an Organized Health Care Education/Training Program
2085D0003X
- Radiology / Diagnostic Neuroimaging		 OR MD198169

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE - Graduated 2014
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
JACLYN THIESSEN is affiliated with the following medical group(s):
  • HOSPITAL
    • OHSU HOSPITAL AND CLINICS
      3181 SW SAM JACKSON PARK ROAD
      PORTLAND, OR 97239

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