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1497140024
IDA JEFSEN
PORTLAND, OR
NPI
1497140024
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OR 201406356RN)
Enumeration Date
2015-03-31
Last Update Date
2015-03-31
Business Address
IDA JEFSEN RN
1535 N WILLIAMS AVE
PORTLAND, OR 97227-1885
Phone number: 971-244-5311
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Mailing Address
IDA JEFSEN RN
6205 SE WOODSTOCK BLVD
PORTLAND, OR 97206-6648
Phone number: 971-222-9708
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