JACQUELYN MARIE NELSEN

LAKE OSWEGO, OR
NPI1912762014
Former NameJACQUELYN MARIE BASS
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OR  65115)
Enumeration Date2024-02-19
Last Update Date2024-09-25
Business Address
JACQUELYN MARIE NELSEN PT
4859 MEADOWS RD STE 161
LAKE OSWEGO, OR 97035-2628
Phone number: 503-387-6081
Mailing Address
JACQUELYN MARIE NELSEN PT
3850 S BOND AVE APT 225
PORTLAND, OR 97239-4836
Phone number: