JESSICA M GONZALEZ

PORTLAND, OR
NPI1316835143
Former NameJESSICA MARIE ROTH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  24-CRM-3914)
Additional Taxonomies175T00000X Peer Specialist
(Licence: OR  112914)
Enumeration Date2025-06-27
Last Update Date2025-07-09
Business Address
JESSICA M GONZALEZ CRM/PWS
1631 SW COLUMBIA ST
PORTLAND, OR 97201-6025
Phone number: 503-231-2641
Mailing Address
JESSICA M GONZALEZ CRM/PWS
211 SE CARUTHERS ST
PORTLAND, OR 97214-4502
Phone number: 503-224-1044