MARYANNE JACONIS

PORTLAND, OR
NPI1295240190
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: OR  2882)
Enumeration Date2017-12-13
Last Update Date2017-12-13
Business Address
Dr. MARYANNE JACONIS Ph.D.
1742 SE CLATSOP ST
PORTLAND, OR 97202-7305
Phone number: 503-908-3767
Mailing Address
Dr. MARYANNE JACONIS Ph.D.
1742 SE CLATSOP ST
PORTLAND, OR 97202-7305
Phone number: 503-908-3767
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