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Individual

MS. CAROL ANN JARRETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
10809 NE BRAZEE ST, PORTLAND, OR 97220-2961
(503) 348-6007
Mailing address
10809 NE BRAZEE ST, PORTLAND, OR 97220-2961
(503) 348-6007

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
678145
CIIS DHS
OR
Enumeration date
07/11/2007
Last updated
07/11/2007
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