Individual provider · Type 1 NPI

Jessica Mia Soliven, BA IN SOCIOLOGY

Specialist · Gresham, OR

NPI number 1710166624 Active

Practice location

4101 NE Division St, Suite # 100
Gresham, OR 97030-4617

Call (503) 666-3808 Map

Fax (503) 666-6835

Mailing address

804 SE 139th Ave
Portland, OR 97233-1956

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1710166624

Jessica Mia Soliven, BA IN SOCIOLOGY's National Provider Identifier is 1710166624, issued on Oct 26, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Gresham, OR. The record was last updated on Oct 26, 2007.