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Individual

JANEAN VEDOVA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
443 NE KNOTT ST, PORTLAND, OR 97212-3108
(530) 966-3046
Mailing address
443 NE KNOTT ST, PORTLAND, OR 97212-3108

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
R4539
OR

Other

Enumeration date
04/18/2017
Last updated
04/18/2017
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