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Organization

NORTH STAR HEALTH LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER JOANNE KING RN (LONG TERM COMMUNITY CARE RN)
(503) 442-5491
Entity
Organization

Contact information

Practice address
7408 SE CLAY ST, PORTLAND, OR 97215-3531
(503) 442-5491
Mailing address
7408 SE CLAY ST, PORTLAND, OR 97215-3531
(503) 442-5491

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary

Other

Enumeration date
12/03/2024
Last updated
12/03/2024
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