Individual
MS. JANE ROSEVELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(503) 285-9321
Mailing address
16300 SUNRISE CT, LAKE OSWEGO, OR 97035-4316
(503) 635-8834
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
OR
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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