Individual
J EVER FURIOSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
3615 NE GRAND AVE, PORTLAND, OR 97212-2104
(503) 281-1166
Mailing address
3615 NE GRAND AVE, PORTLAND, OR 97212-2104
(503) 281-1166
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/12/2026
Last updated
05/12/2026
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