Individual
JAEDA CHECKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
19155 SE YAMHILL ST APT 19, PORTLAND, OR 97233-5978
(503) 788-4500
Mailing address
7759 SE 72ND AVE, PORTLAND, OR 97206-7921
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201506284RN
OR
Other
Enumeration date
02/15/2016
Last updated
04/24/2016
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