Individual
MRS. JULIA GRACE PECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1827 NE 44TH AVE STE 390, PORTLAND, OR 97213-1461
(503) 963-6494
(310) 933-4134
Mailing address
4420 E JORY ST APT 309, NEWBERG, OR 97132-3661
(503) 812-7975
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/01/2023
Last updated
12/01/2023
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