Individual
JESS PORQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1300 NW HARRISON BLVD, CORVALLIS, OR 97330-6277
(541) 227-6331
Mailing address
1300 NW HARRISON BLVD, CORVALLIS, OR 97330-6277
(541) 227-6331
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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