JACKIE MCGIVERN

PORTLAND, OR
NPI1952027757
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: OR  C4624)
Enumeration Date2022-10-13
Last Update Date2022-10-13
Business Address
JACKIE MCGIVERN
328 NE FAILING ST
PORTLAND, OR 97212-1157
Phone number: 708-528-5225
Mailing Address
JACKIE MCGIVERN
3707 SE SALMON ST
PORTLAND, OR 97214-4337
Phone number: 708-528-5225