MRS. Jacquelyn Alice Bennett, RN

NPI #1083964704 in Portland, Oregon

Provider Information

NPI Number
1083964704
Entity Type
Individual
Name
MRS. Jacquelyn Alice Bennett, RN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Registered Nurse - Gerontology
Credential
RN
Enumeration Date
Sep 11, 2012
Last Updated
Sep 11, 2012

Practice Location

Address
4540 NE GLISAN ST
State
Oregon
ZIP Code
97213-2333
Phone
(503) 215-3738

Specialties & Taxonomy Codes

Specialty
Registered Nurse - GerontologyGerontology

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