Organization
JESSICA KIERAS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA KIERAS PH.D. (PRESIDENT)
(503) 489-7134
Entity
Organization
Contact information
Practice address
3939 NE HANCOCK ST, SUITE 214, PORTLAND, OR 97212-5321
(503) 489-7134
Mailing address
3939 NE HANCOCK ST, SUITE 214, PORTLAND, OR 97212-5321
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2198
OR
Other
Enumeration date
03/09/2017
Last updated
03/09/2017
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