Individual
JESSICA KATHRYN STUMPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 SE DIVISION ST, SUITE 218, PORTLAND, OR 97202
(503) 249-8851
Mailing address
1125 SE DIVISION ST, SUITE 218, PORTLAND, OR 97202
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
03/12/2009
Last updated
04/22/2019
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