Individual
JENNIFER MOWRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAS, CADC I
Contact information
Practice address
12950 SW PACIFIC HWY, SUITE 235, TIGARD, OR 97223-5061
(503) 624-9545
(503) 684-0778
Mailing address
12950 SW PACIFIC HWY, SUITE 235, TIGARD, OR 97223-5061
(503) 624-9545
(503) 684-0778
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13/12-29
OR
Other
Enumeration date
01/29/2016
Last updated
01/29/2016
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