JADE SUNLIGHT LORE

PORTLAND, OR
NPI1659948123
Former NameERIN NICOLE CANDELARIA
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  R6969)
Enumeration Date2021-06-04
Last Update Date2023-06-09
Business Address
JADE SUNLIGHT LORE MA
4035 NE SANDY BLVD
PORTLAND, OR 97212
Phone number: 971-940-2601
Mailing Address
JADE SUNLIGHT LORE MA
4035 NE SANDY BLVD
PORTLAND, OR 97212
Phone number: 971-940-2601