| Jennifer Mary Fasulo, RN | |
|
3734 Se 15th Ave, Apt 1, Portland, OR 97202-3857 | |
| (203) 228-0805 | |
| Not Available |
| Full Name | Jennifer Mary Fasulo |
|---|---|
| Gender | Female |
| Speciality | Registered Nurse |
| Location | 3734 Se 15th Ave, Portland, Oregon |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730480831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 201243142RN (Oregon) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Mary Fasulo, RN 510 E 15th Aly, Apt 3, Eugene, OR 97401-4580 Ph: (203) 228-0805 | Jennifer Mary Fasulo, RN 3734 Se 15th Ave, Apt 1, Portland, OR 97202-3857 Ph: (203) 228-0805 |
Nanis Gilmore, RN, CDE Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 541 Ne 20th Ave, Suite 210, Portland, OR 97232 Phone: 503-233-6940 Fax: 503-236-2676 | |
Julie Liddicoat, CHN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 426 Sw Stark St, 3rd Floor, Portland, OR 97204 Phone: 503-988-3417 Fax: 503-988-3419 | |
Valeriy Igumnov, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 847 Ne 19th Ave, Suite 100, Portland, OR 97232 Phone: 503-238-0769 Fax: 503-552-6208 | |
John Saklofsky, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3131 N Vancouver Ave, Portland, OR 97227 Phone: 503-528-5521 | |
Misrak Ayele, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 950 Sw 21st Ave Apt 1014, Portland, OR 97205 Phone: 503-449-3925 | |
Bonnie Kay Schonbachler, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2330 Ne Siskiyou St, Portland, OR 97212 Phone: 503-528-0757 | |
Mrs. Samantha Lancaster, RN-BC Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 10123 Se Market St, Portland, OR 97216 Phone: 503-257-2500 |