Individual
MS. JENNY D. WATTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
10011 SE DIVISION ST STE 200, PORTLAND, OR 97266-1353
(503) 966-2022
Mailing address
10011 SE DIVISION ST STE 200, PORTLAND, OR 97266-1353
(503) 966-2022
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L2843
OR
Other
Enumeration date
02/08/2010
Last updated
06/07/2024
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