Bennett, Jacquelyn Alice

Bennett, Jacquelyn Alice is an individual health care provider with primary practice located at 4540 Ne Glisan St , Portland OR 97213-2333. She recently has only one registered license in Nursing Service Providers / Gerontology, which is considered as her primary health care specialty. Bennett, Jacquelyn Alice can be contacted via phone (503) 215-3738.

Contact Information

Primary practice address
4540 Ne Glisan St Portland OR 97213-2333
Phone: (503) 215-3738
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Gerontology 163WG0600X 200340760RN Oregon

Profile Details

NPI number 1083964704
LBN Legal business name Bennett, Jacquelyn Alice
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2012
Last updated Sep 11th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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