Individual
MYRTICE LAJUAN JECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
426 SW STARK ST, 8TH FLOOR, PORTLAND, OR 97204-2347
(503) 988-3674
(503) 988-3998
Mailing address
421 SW OAK ST, 210, PORTLAND, OR 97204-1817
(503) 988-3674
(503) 988-3998
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD16432
OR
Other
Enumeration date
02/09/2007
Last updated
12/14/2009
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