Individual
JENNIFER COOMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LSC, QMHP
Contact information
Practice address
2811 SE 121ST AVE, PORTLAND, OR 97266-1028
(503) 201-8329
Mailing address
2811 SE 121ST AVE, PORTLAND, OR 97266-1028
(503) 201-8329
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
124916
OR
Other
Enumeration date
10/03/2024
Last updated
10/03/2024
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