Individual
JEANNETTE ANNE O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
420 NE MASON ST, PORTLAND, OR 97211-3479
(535) 469-9402
(503) 546-9415
Mailing address
420 NE MASON ST, PORTLAND, OR 97211-3479
(535) 469-9402
(503) 546-9415
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
200040261RN
OR
Other
Enumeration date
08/05/2021
Last updated
08/05/2021
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