Individual
MS. JAMIE RENEE WOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2415 SE 43RD AVE, SUITE 100, PORTLAND, OR 97206-1600
(503) 238-0705
(503) 236-7166
Mailing address
11751 E BURNSIDE ST, APT. 20, PORTLAND, OR 97216-3775
(360) 241-5336
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
05/17/2007
Last updated
09/18/2007
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