Jacqueline R Walczyk in Portland - Nurse Practitioner
Jacqueline R Walczyk - NPI 1659381572
Jacqueline R Walczyk is a Nurse Practitioner in Portland, Oregon. Jacqueline R Walczyk practices all healthcare services and medical treatments related to Nurse Practitioner. The NPI Number for Jacqueline R Walczyk is 1659381572. The last update date is 2007-07-08.
Jacqueline R Walczyk's current location address is 13505 Nw Countryview Way, Portland, Oregon. You can contact this provider via phone number 5032208262 and fax number 5034022817. The mailing address for Jacqueline R Walczyk is 13505 Nw Countryview Way, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacqueline R Walczyk |
|---|---|
| Address | 13505 Nw Countryview Way, Portland, Oregon |
| Phone Number | 5032208262 |
| Fax Number | 5034022817 |
| Sole Proprietor | N |
| Credentials | ANP |
NPI Number Detail
| NPI Number | 1659381572 |
|---|---|
| Provider Enumeration Date | 2006-08-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 13505 Nw Countryview Way |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972294470 |
| Phone Number | 5032208262 |
| Fax Number | 5034022817 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Practitioner |
|---|---|
| Taxonomy | 363L00000X |
| Licence No | 081002389N3 |
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Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certifi |
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What is the Jacqueline R Walczyk's 1659381572?
The Jacqueline R Walczyk's NPI (National Provider Identifier) Number is 1659381572. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jacqueline R Walczyk's facilities are situated?
The facilities of Jacqueline R Walczyk are physically located at the following address: 13505 Nw Countryview Way, Portland, OR, 972294470.
What is Jacqueline R Walczyk's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jacqueline R Walczyk is Nurse Practitioner, and the corresponding taxonomy classification code for this specialized field is 363L00000X.
On what date was the 1659381572 assigned to Jacqueline R Walczyk?
The Jacqueline R Walczyk was issued its 1659381572 on 2006-08-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Jacqueline R Walczyk's information last updated?
The Jacqueline R Walczyk's information was last updated on 2007-07-08.
NPI Number: 1063415297
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