Individual
MRS. JENNIFER DAWN ZIRKLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3415 SE POWELL BLVD, PORTLAND, OR 97202
(503) 475-2737
Mailing address
6343 SE TIBBETTS ST., PORTLAND, OR 97206
(503) 475-2737
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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