Individual
LUKE WILLIAM JENNINGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1132 SW 13TH AVE, PORTLAND, OR 97205-1703
(503) 223-3860
(503) 223-6837
Mailing address
1223 NE SCHUYLER ST, APT 1, PORTLAND, OR 97212-4330
(617) 938-8536
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201406223RN
OR
Other
Enumeration date
12/01/2014
Last updated
12/01/2014
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