Individual
JACQUELINE STROUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4103 SW GARDEN HOME RD, PORTLAND, OR 97219-3545
(605) 769-4381
Mailing address
4103 SW GARDEN HOME RD, PORTLAND, OR 97219-3545
(605) 769-4381
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
12/03/2024
Last updated
12/16/2024
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