IVANA ANTO JUNGIC

PORTLAND, OR
NPI1851880215
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-05-01
Last Update Date2018-05-01
Business Address
IVANA ANTO JUNGIC
3807 NE MLK BLVD
PORTLAND, OR 97212-1114
Phone number: 503-816-6576
Mailing Address
IVANA ANTO JUNGIC
3807 NE MLK BLVD
PORTLAND, OR 97212-1114
Phone number: