Individual
MS. JEANINE ANGEL COMSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
847 NE 19TH AVE STE 100, PORTLAND, OR 97232-2684
(971) 222-7067
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(971) 222-7067
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A14582
OR
Other
Enumeration date
01/31/2018
Last updated
05/14/2024
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