JORDAN ALYSSA GRANT

PORTLAND, OR
NPI1194203869
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2018-08-03
Last Update Date2021-06-02
Business Address
JORDAN ALYSSA GRANT
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
Mailing Address
JORDAN ALYSSA GRANT
3415 SE POWELL BLVD
PORTLAND, OR 97202-3371
Phone number: 503-234-9591
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