Individual
JESSICA RENEE GODFREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1427 SE 182ND AVE., PORTLAND, OR 97233
(503) 761-6006
(503) 761-1434
Mailing address
1027 E. BURNSIDE ST., PORTLAND, OR 97214
(503) 239-8400
(503) 269-8407
Taxonomy
Speciality
Code
Description
License number
State
246Q00000X
Pathology Specialist/Technologist
Primary
—
—
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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