Individual
JESSICA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA, CNOR
Contact information
Practice address
4512 SW WOOD PKWY, PORTLAND, OR 97219-5278
(503) 799-9850
Mailing address
4512 SW WOOD PKWY, PORTLAND, OR 97219-5278
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
201142428RN
OR
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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