JAMIE VANDERGON

PORTLAND, OR
NPI1295899649
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  C1983)
Enumeration Date2006-12-20
Last Update Date2007-08-16
Business Address
-- JAMIE VANDERGON MS, LPC
3550 SE WOODWARD ST
PORTLAND, OR 97202-1552
Phone number: 503-813-7769
Mailing Address
-- JAMIE VANDERGON MS, LPC
3550 SE WOODWARD ST
PORTLAND, OR 97202-1552
Phone number: 503-813-7769
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