Search › Oregon › 101YA0400X
Jacqueline Pancoast, CADC I
NPI 1992056717 · on the registry since 2012
Practice
- Address
- 1949 Se 122nd Ave
Portland, OR 97233 - Phone
- (971) 271-6313
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-09-20
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