JUDY JACKSON

PORTLAND, OR
NPI1407569718
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: OR  201408689LPN)
Enumeration Date2023-01-02
Last Update Date2023-01-02
Business Address
JUDY JACKSON
745 NE 122ND AVE
PORTLAND, OR 97230-2001
Phone number: 503-252-0241
Mailing Address
JUDY JACKSON
745 NE 122ND AVE
PORTLAND, OR 97230-2001
Phone number:
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