Individual
JEAN MARY SPAZIANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, MN, PMHNP
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97207-9823
(503) 220-8262
Mailing address
PO BOX 1034, PORTLAND, OR 97207-9823
(503) 220-8262
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
—
OR
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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