Individual
JACQUELYN GUY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1316 SW WASHINGTON ST, PORTLAND, OR 97205-2327
(503) 535-1151
Mailing address
1316 SW WASHINGTON ST, PORTLAND, OR 97205-2327
(503) 535-1151
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201390112RN
OR
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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