JACK EZRA KEEGAN

PORTLAND, OR
NPI1558999664
Other NameJESSICA LEE NELSON
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: OR  200740083RN)
Enumeration Date2020-04-01
Last Update Date2020-04-01
Business Address
JACK EZRA KEEGAN
33 NW BROADWAY
PORTLAND, OR 97209-3580
Phone number: 503-228-7134
Mailing Address
JACK EZRA KEEGAN
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number: 503-294-1681
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