person
Jacqueline Brown
Student in an Organized Health Care Education/Training Program in Portland, Oregon
NPI 1255052494

Jacqueline Brown is a Student in an Organized Health Care Education/Training Program based in Portland, OR. Jacqueline Brown practices in Portland, OR. The NPI Number for Jacqueline Brown is 1255052494 and holds a License No. 390200000X (Oregon).

The current practice location address for Jacqueline Brown is 2730 S Moody Ave, Portland, OR and can be reached out via phone at 503-494-3633.

Location: 2730 S Moody Ave, Portland, OR, 97201-5042
person
Provider Profile Details
NPI Number
1255052494
Provider Name
Jacqueline Brown
Credential
Provider Entity Type
Individual
Gender
Female
Address
2730 S Moody Ave, Portland, OR, 97201-5042
Phone Number
503-494-3633
Fax Number
Provider Enumeration Date
09/07/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2730 S Moody Ave
City
State
Zip
97201-5042
Phone Number
503-494-3633
Fax Number
person
Provider Business Mailing Address Details
Address
2730 S Moody Ave
City
State
Zip
97201-5042
Phone Number
503-494-3633
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
390200000X (Oregon)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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