Individual
JENNY MARIE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
655 NW HOYT ST, PORTLAND, OR 97209-3769
(503) 288-4000
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
(503) 294-1681
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW104946
OR
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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