Individual
JANNA RENEE HIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9911 SE MT. SCOTT BOULEVARD, PORTLAND, OR 97266
(503) 258-4200
Mailing address
9911 SE MT. SCOTT BOULEVARD, PORTLAND, OR 97266
(503) 258-4200
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
7231095
OR
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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