Individual
MS. JENIFER ANNE DESMOND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
722 NE 162ND AVE, PORTLAND, OR 97230-5760
(503) 239-8101
Mailing address
4644 SE 84TH AVE, PORTLAND, OR 97266-3026
(920) 915-2296
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
01/04/2010
Last updated
01/02/2018
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