Individual
JESSICA RISLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2496 SE SHASTA WAY, WALDPORT, OR 97394-9783
(541) 961-7636
Mailing address
2496 SE SHASTA WAY, WALDPORT, OR 97394-9783
(541) 961-7636
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
04/20/2026
Last updated
04/20/2026
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