Individual
JOLIE GUILLEBEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-3581
Mailing address
3306 SE ALDER ST, PORTLAND, OR 97214-3122
(206) 491-6983
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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