person
Jackie Gust, RN
Community Health Registered Nurse in Portland, Oregon
NPI 1235367921

Jackie Gust is a Community Health Registered Nurse based in Portland, OR and is specialized in Community Health. Jackie Gust practices in Portland, OR and has the professional credentials of RN. The NPI Number for Jackie Gust is 1235367921 and holds a License No. 078041151RN (Oregon).

The current practice location address for Jackie Gust is 421 Sw Oak St, Portland, OR and can be reached out via phone at 503-988-3056 and via fax at 503-988-3015. You can also correspond with Jackie Gust through the mailing address at 421 SW OAK ST, PORTLAND, OR - 97204-1817 (mailing address contact number: 503-988-3056).

Location: 421 Sw Oak St, Portland, OR, 97204-1817
person
Provider Profile Details
NPI Number
1235367921
Provider Name
Jackie Gust
Credential
RN
Provider Entity Type
Individual
Gender
Female
Address
421 Sw Oak St, Portland, OR, 97204-1817
Phone Number
503-988-3056
Fax Number
503-988-3015
Provider Enumeration Date
07/01/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
096511 05 OR
022959 05 OR
institution
Provider Business Practice Location Address Details
Address
421 Sw Oak St
City
State
Zip
97204-1817
Phone Number
503-988-3056
Fax Number
503-988-3015
person
Provider Business Mailing Address Details
Address
421 Sw Oak St
City
State
Zip
97204-1817
Phone Number
503-988-3056
Fax Number
503-988-3015
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Community Health
Taxonomy
License No.
078041151RN (Oregon)
Definition
Definition to come...
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