Jaime Haseleu
Specialist in Vancouver, WA. Individual provider (NPI-1).
NPI number1154058626
StatusActive
Last updated in NPPESAug 4, 2022
Details
- NPI
- 1154058626
- Entity type
- Individual (NPI-1)
- Name
- Jaime Haseleu
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 4, 2022
- Certification date
- Aug 4, 2022
- Last updated
- Aug 4, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | – | – | Yes |
Practice location
2612 Ne 114th Ave Ste 1Vancouver, WA 98684-4229
Phone 503-734-7764
Mailing address
2847 Upper DrLake Oswego, OR 97035-3663
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