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Jacquelyn Rose Quetal

Nurse Practitioner - Family Medicine

12710 Se Division St
Portland , Oregon 97236-3134

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Jacquelyn Rose Quetal

Nurse Practitioner - Family Medicine

12710 Se Division St
Portland , Oregon 97236-3134

(503) 988-3015

Write a Review Save Call

Jacquelyn Rose Quetal

Nurse Practitioner - Family Medicine

12710 Se Division St
Portland , Oregon 97236-3134

(503) 988-3015 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Nurse Practitioner - Family Medicine

Languages spoken

  • English

Location

12710 Se Division St Portland , Oregon 97236-3134

First Address

  • Jacquelyn Rose Quetal
  • 421 Sw Oak St Ste.210
  • Portland, OR
  • Zip : 97204-1817
  • Fax : (503) 988-3015
  • Phone : (503) 988-3663

Second Address

  • Jacquelyn Rose Quetal
  • 12710 Se Division St
  • Portland, OR
  • Zip : 97236-3134
  • Fax : (503) 988-3015
  • Phone : (503) 988-3663

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FAQs


Where did Jacquelyn Rose Quetal attend graduate school?

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Where did Jacquelyn Rose Quetal do her residency?

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Where did Jacquelyn Rose Quetal do her fellowship?

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Is Jacquelyn Rose Quetal board certified?

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What type of doctor is Jacquelyn Rose Quetal

Nurse Practitioner - Family Medicine

In what state does Jacquelyn Rose Quetal practice in?

Oregon

Where is Jacquelyn Rose Quetal ’s practice located?

12710 Se Division St , Portland, Oregon, 97236-3134

What is Jacquelyn Rose Quetal ’s gender?

Female

Is Jacquelyn Rose Quetal a sole practitioner?

No

Is Jacquelyn Rose Quetal accepting new patients?

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What languages does Jacquelyn Rose Quetal speak?

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Does Jacquelyn Rose Quetal accept insurance?

Yes, Jacquelyn Rose Quetal accepts insurance

Does Jacquelyn Rose Quetal offers telemedicine?

Jacquelyn Rose Quetal has not indicated if she offers telemedicine

What is Jacquelyn Rose Quetal ’s professional license number?

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What is Jacquelyn Rose Quetal ’s NPI number?

1003061292

Does Jacquelyn Rose Quetal have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 363LF0000X Nurse Practitioner - Family Medicine 1368 HI
Y 363LF0000X Nurse Practitioner - Family Medicine 200950072NP OR

National Provider Identifier

NPI 1003061292
Provider Name Jacquelyn Rose Quetal
First Address Portland, OR 97204-1817
Second Address Portland, OR 97236-3134
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 01/12/2008
Last Update Date 07/03/2013

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
22959 (05) OR

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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