JACKIE RAVARRA

PORTLAND, OR
NPI1538896691
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-08-08
Last Update Date2022-08-08
Business Address
JACKIE RAVARRA
324 NW DAVIS ST
PORTLAND, OR 97209-3925
Phone number: 503-226-2203
Mailing Address
JACKIE RAVARRA
324 NW DAVIS ST
PORTLAND, OR 97209-3925
Phone number:
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