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Individual

JASUDHA RANABHAT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
12045 SE STANLEY AVE, MILWAUKIE, OR 97222-2938
(503) 659-2323
Mailing address
16442 SW 132ND TER, TIGARD, OR 97224-3080
(503) 473-6975

Taxonomy

Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
202112438NP-PP
OR

Other

Enumeration date
12/09/2021
Last updated
12/09/2021
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