Individual
MISS SHELLY JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13541 SE MARKET ST, PORTLAND, OR 97233-1752
(503) 258-9734
Mailing address
13541 SE MARKET ST, PORTLAND, OR 97233-1752
(503) 258-9734
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/06/2007
Last updated
08/15/2007
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