JOLLY DANIEL

PORTLAND, OR
NPI1679205777
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: OR  10031091)
Enumeration Date2022-06-28
Last Update Date2025-01-02
Business Address
JOLLY DANIEL FNP
4805 NE GLISAN ST STE 11N
PORTLAND, OR 97213-2933
Phone number: 503-215-8650
Mailing Address
JOLLY DANIEL FNP
PO BOX 3158
PORTLAND, OR 97208-3158
Phone number: 503-215-6494
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