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Individual

MISS JENNIE ANNE KLEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
2545 SW TERWILLIGER BLVD, PORTLAND, OR 97201-6302
(503) 314-6483
Mailing address
2623 SE ANKENY ST APT 202, PORTLAND, OR 97214-1766
(971) 506-2003

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200040442RN
OR

Other

Enumeration date
01/14/2013
Last updated
01/14/2013
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