Jeremy J Portje
NPI #1003702705 in San Rafael, California
Provider Information
- NPI Number
- 1003702705
- Entity Type
- Individual
- Name
- Jeremy J Portje
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Peer Specialist
- Enumeration Date
- Jun 17, 2025
- Last Updated
- Jun 17, 2025
Practice Location
- Address
- 3270 KERNER BLVD STE C
- City
- San Rafael
- State
- California
- ZIP Code
- 94901-4840
- Phone
- (415) 960-8290
Specialties & Taxonomy Codes
| Specialty |
|---|
| Peer Specialist |
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