Individual
AARON B JOLLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9800 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-9750
(503) 572-9449
Mailing address
326 NW 207TH AVE, BEAVERTON, OR 97006-2186
(360) 710-4772
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200530050LPN
OR
Other
Enumeration date
06/08/2009
Last updated
06/08/2009
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