Individual
JENNIFER E RONDEMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
14815 SE DIVISION ST, PORTLAND, OR 97236-2336
(503) 761-7139
(503) 761-7917
Mailing address
PO BOX 33350, PORTLAND, OR 97292-3350
(503) 595-2782
(503) 761-7917
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSWA A1886
OR
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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