Individual
JACKIE PARIS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT, RDT
Contact information
Practice address
1820 SW VERMONT ST STE L, PORTLAND, OR 97219-1945
(503) 528-4406
(503) 477-4852
Mailing address
1820 SW VERMONT STREET, SUITE L, PORTLAND, OR 97219
(503) 528-4406
(503) 477-4852
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
T058
OR
106H00000X
Marriage & Family Therapist
Primary
T058
OR
Other
Enumeration date
12/15/2008
Last updated
12/15/2008
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