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1124169495
MYRTICE LAJUAN JECKER
PORTLAND, OR
NPI
1124169495
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: OR MD16432)
Enumeration Date
2007-02-09
Last Update Date
2009-12-14
Business Address
-- MYRTICE LAJUAN JECKER MD
426 SW STARK ST 8TH FLOOR
PORTLAND, OR 97204-2347
Phone number: 503-988-3674
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Mailing Address
-- MYRTICE LAJUAN JECKER MD
421 SW OAK ST 210
PORTLAND, OR 97204-1817
Phone number: 503-988-3674
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