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1912762014
JACQUELYN MARIE NELSEN
LAKE OSWEGO, OR
NPI
1912762014
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Former Name
JACQUELYN MARIE BASS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 65115)
Enumeration Date
2024-02-19
Last Update Date
2024-09-25
Business Address
JACQUELYN MARIE NELSEN PT
4859 MEADOWS RD STE 161
LAKE OSWEGO, OR 97035-2628
Phone number: 503-387-6081
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Mailing Address
JACQUELYN MARIE NELSEN PT
3850 S BOND AVE APT 225
PORTLAND, OR 97239-4836
Phone number:
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