ROCHELLE JEANESS LAKE

PORTLAND, OR
NPI1093854978
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
Enumeration Date2007-02-06
Last Update Date2007-07-08
Business Address
Mrs. ROCHELLE JEANESS LAKE MA, QMHP
1312 SW WASHINGTON ST
PORTLAND, OR 97208-3007
Phone number: 503-535-1150
Mailing Address
Mrs. ROCHELLE JEANESS LAKE MA, QMHP
18524 NW REDWING WAY #201
BEAVERTON, OR 97006
Phone number: 503-535-1150
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