JANICE C. PREMO

PORTLAND, OR
NPI1518146802
Professional NameJAN PREMO
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YP2500X Counselor, Professional
(Licence: OR  2044)
Additional Taxonomies101YP2500X Counselor, Professional
(Licence: OR  85365)
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  07-09-36)
Enumeration Date2007-11-02
Last Update Date2007-11-04
Business Address
-- JANICE C. PREMO
6400 SE LAKE RD STE 102
PORTLAND, OR 97222-2129
Phone number: 503-810-8111
Mailing Address
-- JANICE C. PREMO
6400 SE LAKE RD STE 102
PORTLAND, OR 97222-2129
Phone number: 503-810-8111