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1023772381
JENNIFER JARVIS
PORTLAND, OR
NPI
1023772381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-10-23
Last Update Date
2021-10-23
Business Address
JENNIFER JARVIS
4310 NE KILLINGSWORTH ST
PORTLAND, OR 97218-1404
Phone number: 503-535-1181
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Mailing Address
JENNIFER JARVIS
PO BOX 3007
PORTLAND, OR 97208-3007
Phone number:
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