Individual
LUCY M JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
728 MOLALLA AVE, OREGON CITY, OR 97045-2799
(503) 656-9030
Mailing address
7320 SW HUNZIKER RD STE 300, TIGARD, OR 97223-2302
(503) 941-3077
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
091003156RN
OR
Other
Enumeration date
11/18/2019
Last updated
11/18/2019
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