Individual
JENNIFER JOY LOOP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3550 SE WOODWARD ST, PORTLAND, OR 97202-1552
(503) 680-3103
Mailing address
3550 SE WOODWARD ST, PORTLAND, OR 97202-1552
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
12/02/2010
Last updated
12/02/2010
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