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Jocelyn M Early

Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers

3181 SW Sam Jackson Park Rd, Mail Code Sjh-2, Portland, OR 97239-3011

PECOS Enrollment

Based on the most recent information from CMS, provider Jocelyn M Early does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1730633868
Provider Type
Individual
Full Name
Early, Jocelyn M
Credential
PA-C

Gender
Female
Sole Proprietor
No
Enumeration Date
8/5/2016
Last Updated
1/15/2021

Contact Information

Practice Location

3181 SW Sam Jackson Park Rd, Mail Code Sjh-2, Portland, OR 97239-3011

(503) 494-4910

Unlisted Fax

Mailing Location

PO Box 3158, Portland, OR 97208-3158

(503) 215-6494

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363AM0700X Primary	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License OMBPA179664 Oregon
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License PA179664 Oregon
Code 363A00000X	Description Physician Assistant Physician Assistants & Advanced Practice Nursing Providers	License OMBPA179664 Oregon

Jocelyn M Early

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Bush, Lisa D

Kjornes, Briana

Armstrong, Emily

Moody, Samuel

Eikamp, Mackenzie Jean

Skolnik, Kevin

Myers, Robert A

Smith, Parrish

Mostafavifar, Mina

Cox, Ashley J