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1114033610
JANE ROSEVELT
PORTLAND, OR
NPI
1114033610
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: OR 089007077RN)
Enumeration Date
2006-08-21
Last Update Date
2007-07-08
Business Address
Ms. JANE ROSEVELT
3550 N INTERSTATE AVE
PORTLAND, OR 97227-1196
Phone number: 503-285-9321
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Mailing Address
Ms. JANE ROSEVELT
16300 SUNRISE CT
LAKE OSWEGO, OR 97035-4316
Phone number: 503-635-8834
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