JACQUELINE LEE MICHUDA

BEND, OR
NPI1063239846
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  10033768)
Additional Taxonomies363L00000X Nurse Practitioner
(Licence: OR  10033768)
Enumeration Date2024-09-24
Last Update Date2024-10-09
Business Address
JACQUELINE LEE MICHUDA APRN-NP
2065 NE TUCSON WAY APT 110
BEND, OR 97701-5182
Phone number: 541-330-3005
Mailing Address
JACQUELINE LEE MICHUDA APRN-NP
PO BOX 4228
PORTLAND, OR 97208-4228
Phone number: 541-383-3005