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1255882775
JESSICA SIMONES
TIGARD, OR
NPI
1255882775
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-10-19
Last Update Date
2016-10-19
Business Address
-- JESSICA SIMONES
10362 SW MCDONALD ST
TIGARD, OR 97224-4863
Phone number: 503-624-0312
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Mailing Address
-- JESSICA SIMONES
1027 E BURNSIDE ST
PORTLAND, OR 97214-1328
Phone number: 503-239-8400
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