Jaqueline Landa
Jaqueline Landa is a Peer Specialist in Gresham, Oregon. Licensed in Oregon. Registered with an NPI since 2024.
- Licensed in
- OR
- In the registry since
- 2024
Practice location Address checks out
1312 E Powell BlvdGresham, OR 97030-8003
Phone: (971) 706-1978
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X · Licence 112881 (OR) |
|---|
Record details
| NPI number | 1356159784 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | December 18, 2024 |
| Last updated in NPPES | December 18, 2024 |
| Certification date | November 18, 2024 |
| Mailing address | 6200 Se King Rd, Portland, OR 97222-2891 |
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