Individual
JESSICA MARIE BRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2363 SW GLACIER PL, REDMOND, OR 97756-7626
(541) 903-8353
Mailing address
2363 SW GLACIER PL, REDMOND, OR 97756-7626
(541) 903-8353
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
112025
OR
Other
Enumeration date
03/28/2025
Last updated
04/23/2025
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