Individual
JESSICA LAUREN THATCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9830 NE CASCADES PKWY, STE 200, PORTLAND, OR 97220
(650) 464-3401
Mailing address
9830 NE CASCADES PKWY STE 200, PORTLAND, OR 97220-6834
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201403201RN
OR
Other
Enumeration date
04/22/2015
Last updated
04/22/2015
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