Individual
JOSEPHINE T JARDINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3615 NE GRAND AVE, PORTLAND, OR 97212-2104
(503) 281-1166
Mailing address
7335 N JERSEY ST, PORTLAND, OR 97203-3956
(206) 372-0545
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
—
OR
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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