Individual
JOLENE ORA CHARLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
58147 COLUMBIA RIVER HWY STE C, SAINT HELENS, OR 97051-6229
(503) 396-5322
Mailing address
58147 COLUMBIA RIVER HWY STE C, SAINT HELENS, OR 97051-6229
(503) 396-5322
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
22-CRM-1507
OR
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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