Individual
JESSICA APODACA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 239-8101
(503) 408-5201
Mailing address
424 NE 22ND AVE, PORTLAND, OR 97232-2809
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
201806852RN
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
93-0386780
ALBERTINA KERR
OR
Enumeration date
08/08/2019
Last updated
08/08/2019
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