Individual
MR. TERRY EDWARD JESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
8512 SE 13TH AVE, PORTLAND, OR 97202-7106
(503) 235-9032
Mailing address
8512 SE 13TH AVE, PORTLAND, OR 97202-7106
(503) 235-9032
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
098007230 RN
OR
Other
Enumeration date
01/13/2013
Last updated
01/13/2013
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