Individual
JESSICA L RIENIETS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
18019 SW LOWER BOONES FERRY RD, PORTLAND, OR 97224-7228
(503) 521-7086
Mailing address
18019 SW LOWER BOONES FERRY RD, PORTLAND, OR 97224-7228
(503) 521-7086
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
17570
OR
Other
Enumeration date
04/11/2011
Last updated
02/16/2026
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