Individual
JENNIFER SOPHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3415 SE POWELL BLVD., PORTLAND, OR 97202
(503) 234-9591
(415) 386-0959
Mailing address
3415 SE POWELL BLVD., PORTLAND, OR 97202
(503) 234-9591
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
MFTI 54710
CA
106H00000X
Marriage & Family Therapist
Primary
T1071
OR
Other
Enumeration date
03/25/2010
Last updated
11/30/2015
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