Individual
JESSICA J JUSTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
620 N CLOVERLEAF LOOP, SPRINGFIELD, OR 97477-1167
(541) 744-6234
(541) 744-6235
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
(503) 238-0769
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/12/2011
Last updated
12/12/2011
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