NPI
Jaqueline Landa
NPI 1356159784
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2024-12-18
- Last updated
- 2024-12-18
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Specialties
Licenses
- License OR
- 112881
Location
- Practice location
- 1312 E Powell Blvd
- City
- Gresham OR
- Postal code
- 97030-8003
- Phone
- (971) 706-1978
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Peer Specialists in Gresham, OR. 47 with this primary taxonomy in the public file.
Other NPIs in Gresham, OR. 2,412 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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