Individual
JOY SUPREME BARTLETT-OCOBOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9111 NE SUNDERLAND AVE, PORTLAND, OR 97211-1708
(503) 280-6081
Mailing address
6415 NE KILLINGSWORTH ST UNIT G17, PORTLAND, OR 97218-3072
(503) 431-1366
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/07/2008
Last updated
02/18/2011
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