Individual
JORDANN WALLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CGC
Contact information
Practice address
3550 N INTERSTATE AVE, PORTLAND, OR 97227-1196
(971) 221-6946
Mailing address
5840 NE 32ND AVE, PORTLAND, OR 97211-6702
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
01/26/2022
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