Jackie Ravarra
Jackie Ravarra is an Addiction (Substance Use Disorder) Counselor in Portland, Oregon. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
324 NW Davis StPortland, OR 97209-3925
Phone: (503) 226-2203
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1538896691 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 8, 2022 |
| Last updated in NPPES | August 8, 2022 |
| Certification date | August 8, 2022 |
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