Most Relevant Information
Provider Data
| NPI Number: | 1003574427 |
| Provider Name: | GRACE MARIE JONES CSWA |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | A5081 |
Most Important Dates
| Enumeration Date: | 12/02/2021 |
| Last Updated: | 12/02/2021 |
Provider Practice Location
4423 NE TILLAMOOK ST
PORTLAND
OR
972131317
Practice Location Phone/Fax
| Phone: | 5038507979 |
| Fax: |
Provider Mailing Location
4423 NE TILLAMOOK ST
PORTLAND
OR
972131317
Provider Mailing Phone/Fax
| Phone: | 5038507979 |
| Fax: |