Individual
JENNIFER Y COLET CASTANEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4400 NE HALSEY ST, PORTLAND, OR 97213-1545
(503) 215-4646
Mailing address
4400 NE HALSEY ST BLDG 1, PORTLAND, OR 97213-1545
(503) 215-4646
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
201700953LPN
OR
Other
Enumeration date
07/10/2024
Last updated
07/10/2024
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