Individual
JILLIAN MCGRANAHAN VISSCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
533 NE 87TH AVE, PORTLAND, OR 97220-5840
(971) 533-6803
Mailing address
16301 SE VAN ZYL DR, DAMASCUS, OR 97089-8883
(971) 533-6803
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R7377
OR
Other
Enumeration date
02/22/2022
Last updated
02/22/2022
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