Doctor Name: | MS. JESSICA MICHAELS ASUNCION |
NPI Number: | 1770975351 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPN |
License Number: | 201500306LPN |
Business Practice Address: | 1030 Ne Couch St. Portland, OR - 97232 |
Business Phone Number: | 5032398400 |
Business Fax Number: | 5032398407 |
Mailing Address: | 1027 E. Burnside St., PORTLAND |
State: | OR |
Postal Code: | 97214 |
Phone Number: | 5032398400 |
Fax Number: | 5032698407 |
NPI Enumeration Date: | 02/19/2015 |
NPI Last Update Date: | 02/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 164W00000X |
License Number: | 201500306LPN |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OR |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Licensed Practical Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |