Individual
JESSICA MANDY RENEE ALMAGUER-EBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2367 S ROOSEVELT DR, SEASIDE, OR 97138-6550
(503) 239-8400
Mailing address
1027 E BURNSIDE ST, PORTLAND, OR 97214-1328
(503) 239-8400
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201230263
OR
Other
Enumeration date
02/11/2020
Last updated
02/11/2020
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