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Individual

JORDAN ABREE VILLINES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PPS

Contact information

Practice address
314 NE 19TH AVE, PORTLAND, OR 97232-2829
(503) 323-9818
(503) 548-4013
Mailing address
5311 N VANCOUVER AVE, PORTLAND, OR 97217-2731
(503) 239-8181
(503) 548-4013

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
116169
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
116169
OR
Enumeration date
02/18/2026
Last updated
02/18/2026
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