Individual
JENNIFER LEANN TIERNEY MW DANCEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
825 NE 20TH AVE STE 250, PORTLAND, OR 97232-2282
(503) 957-3391
Mailing address
14038 SE UPPER ALDERCREST DR, MILWAUKIE, OR 97267-1809
(808) 264-1755
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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