JEREMY SHAWNTE RALLS

PORTLAND, OR
NPI1184456014
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2024-08-19
Last Update Date2024-08-19
Business Address
JEREMY SHAWNTE RALLS CSWA-R, MSW
3001 NE AINSWORTH ST
PORTLAND, OR 97211-6751
Phone number: 503-349-1452
Mailing Address
JEREMY SHAWNTE RALLS CSWA-R, MSW
3001 NE AINSWORTH ST
PORTLAND, OR 97211-6751
Phone number: 503-349-1452