Individual
MRS. JILLIAN LARAMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4941 NE 17TH AVE, PORTLAND, OR 97211-5709
(503) 282-3296
Mailing address
14600 NW CORNELL RD, PORTLAND, OR 97229-5442
(503) 645-9581
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/27/2011
Last updated
06/16/2014
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