Individual
JAMIE BLANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
190 SE 8TH AVE, HILLSBORO, OR 97123-4216
(503) 352-6151
Mailing address
190 SE 8TH AVE, HILLSBORO, OR 97123-4216
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/02/2025
Last updated
05/02/2025
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