Guajardo, Jazz

Guajardo, Jazz is an individual health care provider with primary practice located at 665 Nw Hoyt St , Portland OR 97209-3769. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Guajardo, Jazz can be contacted via phone (503) 280-4000.

Contact Information

Primary practice address
665 Nw Hoyt St Portland OR 97209-3769
Phone: (503) 280-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X IN-10210983 Oregon
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1700486719
LBN Legal business name Guajardo, Jazz
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2020
Last updated Jul 12th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers