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1720714264
JESSICA YTIEVE CHANEY
HILLSBORO, OR
NPI
1720714264
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: OR 202211393NP-PP)
Enumeration Date
2022-07-27
Last Update Date
2022-07-27
Business Address
JESSICA YTIEVE CHANEY CPNP
445 E MAIN ST
HILLSBORO, OR 97123-4084
Phone number: 503-640-2757
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Mailing Address
JESSICA YTIEVE CHANEY CPNP
16995 BECK RD
DALLAS, OR 97338-9317
Phone number: 503-930-6803
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