Individual
JESSICA MARIE KALISZEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1675 SW MARLOW AVE, PORTLAND, OR 97225-5104
(510) 679-3545
Mailing address
10972 SE LENORE ST, HAPPY VALLEY, OR 97086-8789
(520) 465-6302
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
03/18/2019
Last updated
03/18/2019
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