JWANA B IBSIES

PORTLAND, OR
NPI1417574807
Former NameJWANA JABR
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy242T00000X Perfusionist
(Licence: OR  089004)
Enumeration Date2020-07-01
Last Update Date2020-07-01
Business Address
Mrs. JWANA B IBSIES CCP
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-505-2373
Mailing Address
Mrs. JWANA B IBSIES CCP
12866 SW MORNINGSTAR DR
TIGARD, OR 97223-1784
Phone number: 503-505-2373