JACQUELYN ALICE BENNETT

PORTLAND, OR
NPI1083964704
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WG0600X Registered Nurse, Gerontology
(Licence: OR  200340760RN)
Enumeration Date2012-09-11
Last Update Date2012-09-11
Business Address
Mrs. JACQUELYN ALICE BENNETT RN
4540 NE GLISAN ST
PORTLAND, OR 97213-2333
Phone number: 503-215-3738
Mailing Address
Mrs. JACQUELYN ALICE BENNETT RN
4540 NE GLISAN ST
PORTLAND, OR 97213-2333
Phone number: 503-215-3738
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