Individual
SARAH JAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
635 SE SPOKANE ST, PORTLAND, OR 97202-6416
(503) 319-8931
Mailing address
635 SE SPOKANE ST, PORTLAND, OR 97202-6416
(503) 319-8931
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201042834RN
OR
163WC1500X
Community Health Registered Nurse
201042834RN
OR
Other
Enumeration date
11/04/2010
Last updated
02/26/2023
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