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Jesse Bard Crossno

Social Worker in Portland, OR. Individual provider (NPI-1).

NPI number1457923948
StatusActive
Last updated in NPPESJul 14, 2021

Details

NPI
1457923948
Entity type
Individual (NPI-1)
Name
Jesse Bard Crossno
Sex
Female
Sole proprietor
No
Enumeration date
Jul 14, 2021
Certification date
Jul 14, 2021
Last updated
Jul 14, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
104100000X Social Worker––Yes

Other names

  • Laura Abigail Crossno (Former Name)

Practice location

738 Ne Davis St
Portland, OR 97232-2931

Phone 503-542-4603

Mailing address

738 Ne Davis St
Portland, OR 97232-2931

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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