Individual
MRS. JEANETTE MARGARET HAUGHTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PNP
Contact information
Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-3228
Mailing address
6202 NE 35TH PL, PORTLAND, OR 97211-7363
(503) 729-5599
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
200650072NP
OR
Other
Enumeration date
07/26/2006
Last updated
11/14/2013
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