Individual
MRS. TRACY MARIE JENDRITZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D
Contact information
Practice address
5200 SW MACADAM AVE, # 580, PORTLAND, OR 97239-6103
(503) 231-7854
(503) 231-8153
Mailing address
5200 SW MACADAM AVE, # 580, PORTLAND, OR 97239-6103
(503) 231-7854
(503) 231-8153
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1631
OR
Other
Enumeration date
05/02/2006
Last updated
03/20/2008
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