Individual
JESSICA VAN AUKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-5171
Mailing address
4736 SW 42ND AVE, PORTLAND, OR 97221-3631
(509) 438-2100
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
22716
OR
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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