Individual
JOLENE G HEINRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.T.
Contact information
Practice address
2130 SW JEFFERSON ST STE 300, PORTLAND, OR 97201-7711
(503) 539-4932
(503) 297-5744
Mailing address
2130 SW JEFFERSON ST STE 300, PORTLAND, OR 97201-7711
(503) 539-4932
(503) 297-5744
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
110285
OR
103TS0200X
School Psychologist
110285
OR
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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