JACKIE SIEGEL TRUSSELL

PORTLAND, OR
NPI1497893739
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: OR  L2749)
Enumeration Date2007-02-01
Last Update Date2007-07-08
Business Address
Mrs. JACKIE SIEGEL TRUSSELL LCSW
14815 SE DIVISION ST
PORTLAND, OR 97236-2336
Phone number: 503-761-7139
Mailing Address
Mrs. JACKIE SIEGEL TRUSSELL LCSW
2551 ROBINWOOD WAY
WEST LINN, OR 97068-1302
Phone number: 503-699-1093
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