Individual
JESSICA RAE HIRSH ANGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATR-BC
Contact information
Practice address
3750 CHEMAWA RD NE, SALEM, OR 97305-1119
(503) 304-7600
Mailing address
9473 NW LEAHY RD, PORTLAND, OR 97229-6316
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
09-107
—
Other
Enumeration date
08/15/2018
Last updated
08/15/2018
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