Individual provider · Type 1 NPI

Jaclyn Christine Kopalek, LPN

Licensed Practical Nurse · Portland, OR

NPI number 1366137986 Active

Practice location

6601 NE 78th Ct Ste A3
Portland, OR 97218-2823

Call (503) 252-3949 Map

Fax (503) 252-4027

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000X10004279 (OR)

Licensed Practical Nurse: 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.

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About NPI 1366137986

Jaclyn Christine Kopalek, LPN's National Provider Identifier is 1366137986, issued on Apr 10, 2023. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Portland, OR. The record was last updated on Apr 10, 2023.