Individual
JACQUELINE ANA LEVENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4400 NE HALSEY ST STE 102, PORTLAND, OR 97213-1545
(503) 962-1000
(503) 962-1005
Mailing address
4400 NE HALSEY ST STE 102, PORTLAND, OR 97213-1545
(503) 962-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO196603
OR
207RC0000X
Cardiovascular Disease Physician
OT021403
PA
207UN0901X
Nuclear Cardiology Physician
DO196603
OR
Other
Enumeration date
03/30/2016
Last updated
10/14/2025
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