Individual
JANNAH ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRM
Contact information
Practice address
1817 NE 6TH AVE, PORTLAND, OR 97212-3960
(503) 719-7985
Mailing address
1817 NE 6TH AVE, PORTLAND, OR 97212-3960
(503) 719-7985
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
OR
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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