Individual
JASMINE M SUTTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12511 SW 68TH AVE STE 100, PORTLAND, OR 97223-8298
(503) 822-8675
Mailing address
9225 SW IBACH CT, TUALATIN, OR 97062-7072
(503) 309-1964
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
10/17/2021
Last updated
10/17/2021
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