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Individual

JESSICA LYNN LOGGINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
Mailing address
505 N WILSON AVE APT 3, PASADENA, CA 91106-1159
(949) 439-6613

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10022956
OR
163W00000X
Registered Nurse
95097489
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
10022956
OR

Other

Enumeration date
02/19/2024
Last updated
05/28/2024
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