Provider Demographics
NPI:1578822953
Name:DE ORO, JESSICA (MSW)
Entity type:Individual
Prefix:MISS
First Name:JESSICA
Middle Name:
Last Name:DE ORO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 W ROSE ST.
Mailing Address - Street 2:
Mailing Address - City:WALLA WALLA
Mailing Address - State:WA
Mailing Address - Zip Code:99362-0260
Mailing Address - Country:US
Mailing Address - Phone:509-525-6650
Mailing Address - Fax:509-522-2349
Practice Address - Street 1:1120 W ROSE ST.
Practice Address - Street 2:
Practice Address - City:WALLA WALLA
Practice Address - State:WA
Practice Address - Zip Code:99362-0260
Practice Address - Country:US
Practice Address - Phone:509-525-6650
Practice Address - Fax:509-522-2349
Is Sole Proprietor?:No
Enumeration Date:2012-05-07
Last Update Date:2012-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical