Individual
JEAN MARGARET WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12901 SE 97TH AVE STE 340, CLACKAMAS, OR 97015
(503) 655-8045
Mailing address
12901 SE 97TH AVE STE 340, CLACKAMAS, OR 97015-7903
(503) 655-8045
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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