Individual
JACQUELINE MENDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1312 SW WASHINGTON, PORTLAND, OR 97208
(503) 984-3331
Mailing address
3739 NE SENATE ST., PORTLAND, OR 97232-1930
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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