Individual
MS. JACKIE KAY SEGUIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3231 SE 50TH AVE, PLANNED PARENTHOOD OF THE COLUMBIA WILLAMETTE, PORTLAND, OR 97206
(503) 775-0861
(503) 788-7285
Mailing address
3725 NE MULTNOMAH ST, PORTLAND, OR 97232-1916
(503) 231-7216
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
000033522N1FNPPP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131475
PIN
—
01
—
263475
OMAP
OR
Enumeration date
01/17/2007
Last updated
07/08/2007
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