Individual
JACQUELYN KRISTEN TRUJILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-NP, RNFA
Contact information
Practice address
1003 N PROVIDENCE DR STE 210, NEWBERG, OR 97132-7523
(503) 537-5620
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
201041838RN
OR
363L00000X
Nurse Practitioner
Primary
10001033
OR
Other
Enumeration date
05/03/2022
Last updated
05/13/2025
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