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1023541869
HOLLY P JASTAK
PORTLAND, OR
NPI
1023541869
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OR 201703454NP-PP)
Enumeration Date
2017-04-08
Last Update Date
2019-04-04
Business Address
HOLLY P JASTAK RN, MSN, FNP
2800 N VANCOUVER AVE STE 165
PORTLAND, OR 97227-1644
Phone number: 503-413-2902
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Mailing Address
HOLLY P JASTAK RN, MSN, FNP
PO BOX 4399
PORTLAND, OR 97208-4399
Phone number: 503-413-3900
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