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Individual

MRS. JACQUELINE MARIE MULAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD, LMFT

Contact information

Practice address
20255 WILLAMETTE DR, WEST LINN, OR 97068-2027
(323) 496-5552
(503) 715-4918
Mailing address
4 TOUCHSTONE APT 107, LAKE OSWEGO, OR 97035-1963
(323) 496-5552

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
T1459
OR
133V00000X
Registered Dietitian
Primary
10175520
OR

Other

Enumeration date
11/16/2018
Last updated
03/18/2026
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