Individual
CLARA JASSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
18633 SE STARK ST, PORTLAND, OR 97233-5468
(503) 489-1760
(503) 489-1763
Mailing address
790 SE FRANCIS AVE, GRESHAM, OR 97080-1363
(503) 358-3816
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
112087
OR
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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