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Individual

MS. JILL M. KLEINER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ACNP

Contact information

Practice address
18040 SW LOWER BOONES FERRY RD STE 100, TIGARD, OR 97224-7259
(503) 216-0624
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
10026322
OR
363LA2100X
Acute Care Nurse Practitioner
R179383
MD

Other

Enumeration date
12/10/2012
Last updated
10/03/2024
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