Individual
JESSICA NASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6411 SE 17TH AVE, PORTLAND, OR 97202
(509) 301-6136
Mailing address
6411 SE 17TH AVE, PORTLAND, OR 97202
(509) 301-6136
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/10/2014
Last updated
11/10/2014
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