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NPI Profile for JACLYN THIESSEN in PORTLAND, OR.
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Diagnostic Radiology |
2085R0202X | 30 | Physician/Diagnostic Radiology | |
Diagnostic Neuroimaging |
2085D0003X | |||
Student in an Organized Health Care Education/Training Program |
390200000X |
| NPI Number | 1376962068 |
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| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 04/10/2014 | |
| Last updated | 05/12/2020 - About 6 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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| Hospital affiliation(s) |
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JACLYN THIESSEN
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JACLYN THIESSEN