Individual
MISS JENNIFER ANN RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4380 SW MACADAM AVE STE 530, PORTLAND, OR 97239-6408
(503) 670-4707
Mailing address
8527 N DECATUR ST APT 8, PORTLAND, OR 97203-5450
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
201506586CNA
OR
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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