Individual
MS. JASMINE JADEITE JIA ERAZMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3850 N MISSISSIPPI AVE APT A613, PORTLAND, OR 97227-1387
(415) 264-7840
Mailing address
3850 N MISSISSIPPI AVE APT A613, PORTLAND, OR 97227-1387
(415) 264-7840
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
120263
NV
225X00000X
Occupational Therapist
15757
CA
225X00000X
Occupational Therapist
Primary
300702
OR
Other
Enumeration date
04/17/2013
Last updated
11/11/2019
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