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NPI Code Detail

MEDICARE: JACQUELINE FERNANDEZ ADLAWAN

MEDICARE: JACQUELINE FERNANDEZ ADLAWAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD211990OR
2363LF0000XFamily Nurse Practitioner200450060NPOR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598708125
Entity Type Code : Individual
Provider Name (Legal Business Name) : JACQUELINE FERNANDEZ ADLAWAN
Provider Business Mailing Address
First Line : 500 NE MULTNOMAH ST FL 11
Second Line :
City : PORTLAND
State : OR
Zip : 97232-2023
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9800 SE SUNNYSIDE RD
Second Line :
City : CLACKAMAS
State : OR
Zip : 97015-9750
Country : US
Telephone Number : 800-813-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/13/2006
Last Update Date : 09/09/2025

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Directions to “ JACQUELINE FERNANDEZ ADLAWAN ” Practice Location

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