Wallace, Jacqueline Vasquez

Wallace, Jacqueline Vasquez is an sole proprietor health care provider with primary practice located at 1015 Se Miller St , Portland OR 97202-6380. She recently has only one registered license in Other Service Providers / Interpreter, which is considered as her primary health care specialty. Wallace, Jacqueline Vasquez can be contacted via phone (503) 888-2114.

Contact Information

Primary practice address
1015 Se Miller St Portland OR 97202-6380
Phone: (503) 888-2114
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Interpreter 171R00000X

Profile Details

NPI number 1508437534
LBN Legal business name Wallace, Jacqueline Vasquez
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 9th, 2021
Last updated Jul 9th, 2021 - about 4 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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