JESSICA BRODERICK

PORTLAND, OR
NPI1184091530
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2015-09-01
Last Update Date2015-09-01
Business Address
JESSICA BRODERICK
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
Mailing Address
JESSICA BRODERICK
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591