NIDAL JIANNI

PORTLAND, OR
NPI1225704760
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  21-QMHA-R-1903)
Enumeration Date2021-08-16
Last Update Date2022-05-27
Business Address
NIDAL JIANNI QMHA-R
12360 E BURNSIDE ST
PORTLAND, OR 97233-1042
Phone number: 971-279-4800
Mailing Address
NIDAL JIANNI QMHA-R
1776 SW MADISON ST
PORTLAND, OR 97205-1715
Phone number: 503-224-1044
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