Individual
YEEKA J MARCELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
2270 SE CESAR E CHAVEZ BLVD, PORTLAND, OR 97214-5916
(503) 963-8337
Mailing address
15900 NE SANDY BLVD APT 44, PORTLAND, OR 97230-5191
(971) 570-0421
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
372600000X
ADULT COMPANION
OR
Enumeration date
03/15/2007
Last updated
07/26/2011
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