Jack Ezra Keegan
Jack Ezra Keegan is a Registered Nurse in Portland, Oregon. Licensed in Oregon. Registered with an NPI since 2020.
- Licensed in
- OR
- In the registry since
- 2020
Practice location Address checks out
33 NW BroadwayPortland, OR 97209-3580
Phone: (503) 228-7134
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Registered Nurse (primary) | Taxonomy 163W00000X · Licence 200740083RN (OR) |
|---|
Record details
| NPI number | 1558999664 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | April 1, 2020 |
| Last updated in NPPES | April 1, 2020 |
| Certification date | April 1, 2020 |
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