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Individual

JACLYN MARIE WINFREE HOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1500 NW BETHANY BLVD STE 200, BEAVERTON, OR 97006-5236
(503) 741-2735
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10023286
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
10023286
OR

Other

Enumeration date
08/01/2024
Last updated
06/15/2026
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