Individual
JESSICA FLORES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2521 SE 74TH AVE, PORTLAND, OR 97206-1150
(503) 597-3898
Mailing address
2521 SE 74TH AVE, PORTLAND, OR 97206-1150
(503) 597-3898
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
11/02/2015
Last updated
11/02/2015
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