Individual
MS. JAMIE KAY FOURNIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PEER SUPPORT SPECIAL
Contact information
Practice address
3716 NE MARTIN LUTHER KING JR BLVD, PORTLAND, OR 97212-1111
(503) 288-8066
Mailing address
185 S 3RD ST APT 3, SAINT HELENS, OR 97051-2082
(503) 308-3739
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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