JACQUELINE R WALCZYK

PORTLAND, OR
NPI1659381572
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: OR  081002389N3)
Enumeration Date2006-08-09
Last Update Date2007-07-08
Business Address
-- JACQUELINE R WALCZYK ANP
3710 SW US VETERANS HOSPITAL RD MAIL CODE P3 R & D 42
PORTLAND, OR 97239-2964
Phone number: 503-220-8262
Mailing Address
-- JACQUELINE R WALCZYK ANP
13505 NW COUNTRYVIEW WAY
PORTLAND, OR 97229-4470
Phone number: 503-220-8262
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