JESSICA GRACE BOTT

PORTLAND, OR
NPI1851602825
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: OR  08-12-04)
Enumeration Date2010-06-24
Last Update Date2010-06-28
Business Address
-- JESSICA GRACE BOTT CADCI, QMHA
709 NW EVERETT ST
PORTLAND, OR 97209-3517
Phone number: 503-226-4060
Mailing Address
-- JESSICA GRACE BOTT CADCI, QMHA
232 NW 6TH AVE
PORTLAND, OR 97209-3609
Phone number: 503-294-1681
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