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Individual

JESSICA ANNE RICE-RODGERS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCSW

Contact information

Practice address
5251 NE GLISAN ST BLDG A2ND, PORTLAND, OR 97213-3052
(503) 215-4860
(503) 215-4839
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
L7215
OR
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
09/14/2012
Last updated
10/03/2017
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