Most Relevant Information
Provider Data
| NPI Number: | 1003061292 |
| Provider Name: | JACQUELYN ROSE MURILLO FNP |
| Entity Type: | Individual |
| Taxonomy Code: | 363L00000X |
| Specialty: | Nurse Practitioner |
| License Number: | 60866630 |
Most Important Dates
| Enumeration Date: | 12/01/2008 |
| Last Updated: | 08/08/2023 |
Provider Practice Location
25742 104TH AVE SE
KENT
WA
980307691
Practice Location Phone/Fax
| Phone: | 2062630540 |
| Fax: |
Provider Mailing Location
421 SW OAK ST
STE.210
PORTLAND
OR
972041817
Provider Mailing Phone/Fax
| Phone: | 5039883663 |
| Fax: | 5039883015 |