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Individual

JACQUELINE VUKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1130 NW 22ND AVE, SUITE 100, PORTLAND, OR 97210-2934
(503) 299-6500
(503) 299-6422
Mailing address
1130 NW 22ND AVE, SUITE 100, PORTLAND, OR 97210-2934
(503) 299-6500
(503) 299-6422

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
MD00039647
WA
207RH0003X
Hematology & Oncology Physician
Primary
MD154135
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0039582
LABOR AND INDUSTRIES #
WA
01
110225174
RAILROAD MC#
WA
01
2341VU
BLUE SHIELD #
WA
05
806245600
ID
05
8284580
WA
05
MD0867W
AK
01
US2552763
AETNA SPECIALIST PIN
WA
Enumeration date
11/12/2006
Last updated
04/25/2012
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