Individual
JONES VIOLET PITSKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PWS
Contact information
Practice address
1132 SW 13TH AVE, PORTLAND, OR 97205-1703
(503) 535-3860
Mailing address
2737 SE 60TH AVE, PORTLAND, OR 97206-1308
(310) 883-3397
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW000105393
OR
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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