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JACQUELINE FERNANDEZ ADLAWAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST FL 11, PORTLAND, OR 97232-2023

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD211990
OR
363LF0000X
Family Nurse Practitioner
200450060NP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
9646761
WA
Enumeration date
06/13/2006
Last updated
09/09/2025
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