Individual
MS. JESSICA TRANELL, NANICE ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9244 N WOOLSEY AVE, PORTLAND, OR 97203-2027
(503) 285-6498
Mailing address
9244 N WOOLSEY AVE, PORTLAND, OR 97203-2027
(503) 285-6498
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/15/2007
Last updated
07/08/2007
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