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Individual

JESSICA NORMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2175 NW RALEIGH ST. SUITE 110 - #0016, PORTLAND, OR 97210
(503) 436-7689
Mailing address
2175 NW RALEIGH ST STE 110 #0016, PORTLAND, OR 97210-2392

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
61447960
WA

Other

Enumeration date
06/12/2023
Last updated
01/04/2024
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