Individual
MICHELLE BROOKE JOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
2522 SE 32ND AVE, PORTLAND, OR 97202-1410
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY33852
CA
Other
Enumeration date
12/09/2022
Last updated
12/09/2022
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