Individual
JAFIA RHIANNON KOLSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4620 SE INTERNATIONAL WAY, PORTLAND, OR 97222-4660
(503) 577-6774
Mailing address
21990 NE CHINOOK WAY APT A, FAIRVIEW, OR 97024-2631
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
05/23/2024
Last updated
05/28/2025
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