JACKIE GUST

PORTLAND, OR
NPI1235367921
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy163WC1500X Registered Nurse, Community Health
(Licence: OR  078041151RN)
Enumeration Date2009-07-01
Last Update Date2009-07-01
Business Address
-- JACKIE GUST RN
421 SW OAK ST #210
PORTLAND, OR 97204-1817
Phone number: 503-988-3056
Mailing Address
-- JACKIE GUST RN
421 SW OAK ST #210
PORTLAND, OR 97204-1817
Phone number: 503-988-3056