Individual
MS. SKYE JASPER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
2100 SW CAMELOT CT, PORTLAND, OR 97225-3700
(503) 252-8125
Mailing address
1247 W 91ST ST, LOS ANGELES, CA 90044-2041
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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