Jaqueline Landa

NPI #1356159784 in Gresham, Oregon

Provider Information

NPI Number: 1356159784
Entity Type: Individual
Name: Jaqueline Landa
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Dec 18, 2024
Last Updated: Dec 18, 2024

Practice Location

Address: 1312 E POWELL BLVD
City: Gresham
State: Oregon
ZIP Code: 97030-8003
Phone: (971) 706-1978

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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