Individual
JAELLAH THALBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 N GRAHAM ST, SUITE 100, PORTLAND, OR 97227-1683
(503) 413-4157
Mailing address
300 N GRAHAM ST, SUITE 100, PORTLAND, OR 97227-1683
(503) 413-4157
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
—
—
Other
Enumeration date
04/27/2012
Last updated
04/27/2012
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