Individual
JEZAIAH VALENCIA FIRME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1235 SE MORRISON ST STE 200, PORTLAND, OR 97214-2462
(503) 746-3373
Mailing address
PO BOX 13037, PORTLAND, OR 97213-0037
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C9125
OR
106S00000X
Behavior Technician
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/01/2019
Last updated
11/18/2024
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