Individual
JAYME LEIGH FAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
847 NE 19TH AVE, PORTLAND, OR 97232-2684
(503) 238-0769
Mailing address
1200 SW 27TH ST, RENTON, WA 98057-2603
(206) 630-1680
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
LW61287072
WA
Other
Enumeration date
03/31/2010
Last updated
02/02/2023
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