Individual
JENNIFER LYN GILLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3550 SE WOODWARD ST, PORTLAND, OR 97202-1552
(503) 348-7378
Mailing address
PO BOX 1809, LAKE OSWEGO, OR 97035-0009
(503) 729-2431
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
RC60020485
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RC60020485
REGISTERED COUNSELOR
WA
Enumeration date
10/13/2008
Last updated
03/22/2010
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