Individual
MS. JESSICA ANN OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
14516 E BURNSIDE ST, PORTLAND, OR 97233-2142
(503) 253-9041
Mailing address
2702 SE 174TH AVE, PORTLAND, OR 97236-1006
(503) 309-6495
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201230150LPN
OR
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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