person
Holly P Jastak, RN,MSN,FNP
Family Nurse Practitioner in Portland, Oregon
NPI 1023541869

Holly P Jastak is a Family Nurse Practitioner based in Portland, OR and is specialized in Family. Holly P Jastak practices in Portland, OR and has the professional credentials of RN,MSN,FNP. The NPI Number for Holly P Jastak is 1023541869 and holds a License No. 201703454NP-PP (Oregon).

The current practice location address for Holly P Jastak is 2800 N Vancouver Ave Ste 165, Portland, OR and can be reached out via phone at 503-413-2902 and via fax at 503-413-5220.

Location: 2800 N Vancouver Ave Ste 165, Portland, OR, 97208-4399
person
Provider Profile Details
NPI Number
1023541869
Provider Name
Holly P Jastak
Credential
RN,MSN,FNP
Provider Entity Type
Individual
Gender
Female
Address
2800 N Vancouver Ave Ste 165, Portland, OR, 97208-4399
Phone Number
503-413-2902
Fax Number
503-413-5220
Provider Enumeration Date
04/08/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2800 N Vancouver Ave Ste 165
City
State
Zip
97227-1644
Phone Number
503-413-2902
Fax Number
503-413-5220
person
Provider Business Mailing Address Details
Address
2800 N Vancouver Ave Ste 165
City
State
Zip
97227-1644
Phone Number
503-413-2902
Fax Number
503-413-5220
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
201703454NP-PP (Oregon)
Definition
Definition to come...
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