Individual
AMY H. JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
14986 NW CORNELL RD, PORTLAND, OR 97229-5460
(503) 292-9293
(503) 645-0701
Mailing address
9303 SW 55TH AVE, PORTLAND, OR 97219-5019
(503) 292-9293
(503) 645-0701
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2723
OR
Other
Enumeration date
08/17/2009
Last updated
08/17/2009
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