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1033758479
JESSICA A TRAILER
GRESHAM, OR
NPI
1033758479
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: OR 22-QMHA-I-003470)
Enumeration Date
2020-01-02
Last Update Date
2023-12-14
Business Address
JESSICA A TRAILER QMHA-I
620 NE 2ND ST
GRESHAM, OR 97030-7514
Phone number: 971-274-3757
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Mailing Address
JESSICA A TRAILER QMHA-I
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
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