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Mrs. Jacquelyn Alice Bennett, RN
Gerontology Registered Nurse in Portland, Oregon
NPI 1083964704

Jacquelyn Alice Bennett is a Gerontology Registered Nurse based in Portland, OR and is specialized in Gerontology. Jacquelyn Alice Bennett practices in Portland, OR and has the professional credentials of RN. The NPI Number for Jacquelyn Alice Bennett is 1083964704 and holds a License No. 200340760RN (Oregon).

The current practice location address for Jacquelyn Alice Bennett is 4540 Ne Glisan St, Portland, OR and can be reached out via phone at 503-215-3738. You can also correspond with Jacquelyn Alice Bennett through the mailing address at 4540 NE GLISAN ST, PORTLAND, OR - 97213-2333 (mailing address contact number: 503-215-3738).

Location: 4540 Ne Glisan St, Portland, OR, 97213-2333
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Provider Profile Details
NPI Number
1083964704
Provider Name
Jacquelyn Alice Bennett
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
4540 Ne Glisan St, Portland, OR, 97213-2333
Phone Number
503-215-3738
Fax Number
Provider Enumeration Date
09/11/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4540 Ne Glisan St
City
State
Zip
97213-2333
Phone Number
503-215-3738
Fax Number
person
Provider Business Mailing Address Details
Address
4540 Ne Glisan St
City
State
Zip
97213-2333
Phone Number
503-215-3738
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Gerontology
Taxonomy
License No.
200340760RN (Oregon)
Definition
Definition to come...
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