Individual
JENNIFER ANN WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33 NW 6TH AVE APT 306, PORTLAND, OR 97209-3666
(540) 539-5487
Mailing address
33 NW 6TH AVE APT 306, PORTLAND, OR 97209-3666
(540) 539-5487
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
OR
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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