Individual
JENNIFER YUENCHING LUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202-3371
(503) 234-9591
Mailing address
599 SE 148TH AVE, PORTLAND, OR 97233-2526
(503) 473-4697
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
OR
Other
Enumeration date
07/07/2007
Last updated
07/08/2007
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