Individual
JESSICA KIMBERLY PORTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
2412 SE 106TH AVE, PORTLAND, OR 97216-3059
(503) 990-4821
Mailing address
2412 SE 106TH AVE, PORTLAND, OR 97216-3059
(503) 990-4821
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
03/19/2025
Last updated
09/05/2025
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