Most Relevant Information
Provider Data
| NPI Number: | 1003698077 |
| Provider Name: | JESSICA MORGENTHALER |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/16/2023 |
| Last Updated: | 07/05/2024 |
Provider Practice Location
9 MONROE PKWY STE 270
LAKE OSWEGO
OR
970358866
Practice Location Phone/Fax
| Phone: | 5036752830 |
| Fax: | 5036752852 |
Provider Mailing Location
9 MONROE PKWY STE 270
LAKE OSWEGO
OR
970358866
Provider Mailing Phone/Fax
| Phone: | 5036752830 |
| Fax: | 5036752852 |