Individual provider · Type 1 NPI

Laura Adams Jetmalani, PNP

Pediatric Nurse Practitioner · Portland, OR

NPI number 1356356877 Active

Practice location

707 SW Gaines St
Portland, OR 97239-2901

Mailing address

5708 Suncreek Dr
Lake Oswego, OR 97035-8777

Specialties and licenses

TaxonomyCodeLicense
Pediatric Nurse Practitioner 363LP0200X82010753RN (OR)
Pediatric Nurse Practitioner Primary 363LP0200XNone listed

Pediatric Nurse Practitioner: Definition to come...

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About NPI 1356356877

Laura Adams Jetmalani, PNP's National Provider Identifier is 1356356877, issued on Jul 31, 2006. The primary taxonomy on file is Pediatric Nurse Practitioner (363LP0200X), and the practice location is in Portland, OR. The record was last updated on Jul 8, 2007.