LAURA MARIE JACKSON

PORTLAND, OR
NPI1386987402
Former NameLAURA MARIE MOEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  201250183NP)
Enumeration Date2013-03-27
Last Update Date2013-03-27
Business Address
Mrs. LAURA MARIE JACKSON FNP, CWCN
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
Mailing Address
Mrs. LAURA MARIE JACKSON FNP, CWCN
PO BOX 2276
LONGVIEW, WA 98632-8347
Phone number: 360-430-7448
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