Individual
JENNIFER HEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
727 W BURNSIDE ST, PORTLAND, OR 97209-3514
(971) 271-6104
Mailing address
6864 NE MULTNOMAH ST, PORTLAND, OR 97213-5441
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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