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MR. JESUS MANUEL LEGARDA ORNELAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
24499 SW GRAHAMS FERRY RD, WILSONVILLE, OR 97070-7523
(971) 352-5739
Mailing address
13237 SW MADDIE LN, TIGARD, OR 97224-2698
(901) 626-6521

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201802378NP-PP
OR

Other

Enumeration date
08/10/2018
Last updated
08/10/2018
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