Individual
JADA KRYSTYNE REID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1035 PORTLAND AVE, GLADSTONE, OR 97027-2154
(503) 722-3877
Mailing address
PO BOX 8459, PORTLAND, OR 97207-8459
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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