Individual
ARIEL JEFFREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
1748 NW FAIRVIEW DR # A, GRESHAM, OR 97030-3842
(503) 724-0378
Mailing address
1748 NW FAIRVIEW DR # A, GRESHAM, OR 97030-3842
(503) 724-0378
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
18297
OR
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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