Individual
MS. JAMIE D ST MARK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3181 SW SAM JACKSON PARK ROAD, UHS-2, PORTLAND, OR 97201
(503) 494-7641
(503) 494-3092
Mailing address
303 NE 16TH AVE, #423, PORTLAND, OR 97232-3088
(503) 750-6970
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
OR
Other
Enumeration date
12/20/2005
Last updated
07/08/2007
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