JENNIFER LOPEZ GONZALEZ

PORTLAND, OR
NPI1629793013
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2022-10-07
Last Update Date2023-07-09
Business Address
JENNIFER LOPEZ GONZALEZ QMHA-R
13317 SE POWELL BLVD
PORTLAND, OR 97236-3335
Phone number: 503-760-9606
Mailing Address
JENNIFER LOPEZ GONZALEZ QMHA-R
3716 NE MLK BLVD
PORTLAND, OR 97212-1111
Phone number:
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