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1700221629
JENNA URBAN
PORTLAND, OR
NPI
1700221629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-05-06
Last Update Date
2018-07-31
Business Address
JENNA URBAN
1232 NW 23RD AVE
PORTLAND, OR 97210
Phone number: 503-227-3450
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Mailing Address
JENNA URBAN
PO BOX 8459
PORTLAND, OR 97207-8459
Phone number: 503-238-0769
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