Individual
JAMIE LYN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
5725 NE PRESCOTT ST, PORTLAND, OR 97218-2229
(503) 402-8102
Mailing address
6811 NE 121ST AVE, #G57, VANCOUVER, WA 98682-5571
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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