Individual
JAMIE RAE JARNOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-1620
(503) 494-6670
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-1620
(503) 494-6670
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
202104238
OR
363LA2100X
Acute Care Nurse Practitioner
Primary
10026514
OR
Other
Enumeration date
04/30/2024
Last updated
08/14/2024
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