Search › Oregon › 367500000X
Jaclyn Short
NPI 1699144774 · on the registry since 2015
Practice
- Address
- 3455 Sw Us Veterans Hospital Rd
Portland, OR 97239 - Phone
- (970) 420-5017
- Clinicians at this address
- 256
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 163W00000X
- Licence states on file
- CO, OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-08-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon