Individual
JACLYN BELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
10150 SE ANKENY ST STE 201A, PORTLAND, OR 97216-2369
(971) 337-6624
Mailing address
10150 SE ANKENY SUITE 201A, PORTLAND, OR 97216
(971) 337-6624
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
THW0229
OR
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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