Individual
JESSI DEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3954 N WILLIAMS AVE, PORTLAND, OR 97227-1480
(503) 265-9319
Mailing address
11923 NE SACRAMENTO ST, PORTLAND, OR 97220-1865
(503) 265-9319
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C3601
OR
Other
Enumeration date
08/18/2016
Last updated
08/18/2016
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