Individual
MRS. JESSICA MICHELLE SIMONETTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
PORTLAND PSYCHOTHERAPY CLINIC, RESEARCH AND TRAINING CE, 3700 N WILLIAMS AVE, PORTLAND, OR 97227
(503) 281-4852
(503) 575-3711
Mailing address
PORTLAND PSYCHOTHERAPY CLINIC, RESEARCH AND TRAINING CE, 3700 N WILLIAMS AVE, PORTLAND, OR 97227
(503) 281-4852
(503) 575-3711
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3254
OR
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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