Individual
MS. JACKI DANNGHI DINH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-5058
(503) 494-5065
Mailing address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-5058
(503) 494-5065
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4942
MN
363L00000X
Nurse Practitioner
CNP4942
MN
363LA2100X
Acute Care Nurse Practitioner
Primary
201608316NP-PP
OR
363LA2100X
Acute Care Nurse Practitioner
CNP4942
MN
Other
Enumeration date
01/18/2017
Last updated
10/05/2021
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