Jillian McGranahan Visscher, MA
Counselor, Professional in Portland, OR. Individual provider (NPI-1).
NPI number1013663657
StatusActive
Last updated in NPPESFeb 22, 2022
Details
- NPI
- 1013663657
- Entity type
- Individual (NPI-1)
- Name
- Jillian McGranahan Visscher
- Credential
- MA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Feb 22, 2022
- Certification date
- Feb 22, 2022
- Last updated
- Feb 22, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | R7377 | OR | Yes |
Practice location
533 Ne 87th AvePortland, OR 97220-5840
Phone 971-533-6803
Mailing address
16301 Se Van Zyl DrDamascus, OR 97089-8883
Phone 971-533-6803
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