Female

Jessica C. Poulson

Personal Care Attendant in Longview, WA(View on Map)

Full Name

Jessica Claus Poulson

NPI Number

1972108744

NPI Type

Individual Provider

Gender

Female

Enumeration Date

12/01/2020

Specialties

(Taxonomies)

Code

3747P1801X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

325 1/2 16TH AVE
325 1/2 16TH AVE

City

Longview
Longview

State

WA
WA

Postal Code

98632-1434
98632-1434

Country

US
US

Telephone Number

(360) 270-1929
(360) 270-1929

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 12/01/2020

Provider Address