Individual
VANESSA JERUSALIMIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4531 SE BELMONT ST STE 117&118, PORTLAND, OR 97215-1699
(971) 361-8303
Mailing address
713 SE 28TH AVE, PORTLAND, OR 97214-3296
(971) 529-6517
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/08/2023
Last updated
05/12/2023
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