Individual
JARROD S KUCHERAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, APRN, FNP-C
Contact information
Practice address
12710 SE DIVISION ST, PORTLAND, OR 97236-3134
(440) 832-1873
Mailing address
12710 SE DIVISION ST, PORTLAND, OR 97236-3134
(440) 832-1873
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
10026960
OR
363LF0000X
Family Nurse Practitioner
APRN.CNP.0030408
OH
Other
Enumeration date
12/04/2021
Last updated
08/07/2024
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