Individual
MRS. JAMIE DANIELLE MCCORMICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12670 NW BARNES RD STE 200, PORTLAND, OR 97229-9001
(971) 248-8899
Mailing address
2203 E SAM PARRETT DR, NEWBERG, OR 97132-2284
(503) 714-1141
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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