Individual
JASMIN MABRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1750 SW SKYLINE BLVD, PORTLAND, OR 97221-2533
(503) 894-9630
Mailing address
1750 SW SKYLINE BLVD, PORTLAND, OR 97221-2533
(503) 894-9630
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/28/2025
Last updated
08/15/2025
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