Individual
MRS. FELICIA J ETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
847 NE 19TH AVE, PORTLAND, OR 97232-2684
(503) 335-5975
Mailing address
139 NE 108TH AVE, PORTLAND, OR 97220-4140
(503) 408-9148
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/30/2010
Last updated
08/13/2019
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