Individual
JAMIE PULLIAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BT
Contact information
Practice address
11126 NE HALSEY ST, PORTLAND, OR 97220-2021
(503) 516-4808
Mailing address
685 SE BELMONT ST APT 428, PORTLAND, OR 97214-2479
(503) 422-2596
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
ABA-IN-10237970
OR
Other
Enumeration date
01/31/2024
Last updated
01/31/2024
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