Individual
JENNIE CIRINCIONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSW
Contact information
Practice address
7850 SE 114TH AVE, PORTLAND, OR 97266-5910
(503) 515-2018
Mailing address
7850 SE 114TH AVE, PORTLAND, OR 97266-5910
(503) 515-2018
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9904265
—
OR
Enumeration date
08/18/2021
Last updated
08/18/2021
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