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1538795984
JESSE ELI STANLEY
PORTLAND, OR
NPI
1538795984
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WG0000X Registered Nurse, General Practice
(Licence: OR 201603541RN)
Enumeration Date
2020-03-17
Last Update Date
2020-03-17
Business Address
JESSE ELI STANLEY RN
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3011
Phone number: 503-494-8772
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Mailing Address
JESSE ELI STANLEY RN
6842 NE MORRIS ST
PORTLAND, OR 97213-5246
Phone number: 208-854-9160
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