Individual
MRS. JESSICA LYN THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA
Contact information
Practice address
7455 SW BEVELAND RD, TIGARD, OR 97223-8610
(503) 747-8131
Mailing address
PO BOX 82819, PORTLAND, OR 97282-0819
(503) 747-8131
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/11/2011
Last updated
02/11/2011
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