Individual
JASMINE MARIE HUUS-PETERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9115 SW OLESON RD, PORTLAND, OR 97223-6875
(916) 539-9195
Mailing address
38908 GILKEY RD, SCIO, OR 97374-9701
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
10/24/2019
Last updated
10/24/2019
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