Individual
MISS JAMIE MICHELLE KASSNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AA
Contact information
Practice address
1292 NORTHGATE DR, INDEPENDENCE, OR 97351-9559
(503) 881-6821
Mailing address
1292 NORTHGATE DR, INDEPENDENCE, OR 97351-9559
(503) 881-6821
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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