Individual
JACQUELYN ROSE MURILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
25742 104TH AVE SE, KENT, WA 98030-7691
(206) 263-0540
Mailing address
421 SW OAK ST, STE.210, PORTLAND, OR 97204-1817
(503) 988-3663
(503) 988-3015
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
60866630
WA
Other
Enumeration date
12/01/2008
Last updated
08/08/2023
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