Individual
JEFFREY FREEMAN STEWART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8338 N INTERSTATE AVE APT 305, PORTLAND, OR 97217-6749
(503) 310-1952
Mailing address
8338 N INTERSTATE AVE APT 305, PORTLAND, OR 97217-6749
(503) 310-1952
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
201603537CNA
OR
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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