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Jonathan Brown

Counselor, Mental Health in Tigard, OR. Individual provider (NPI-1).

NPI number1710698436
StatusActive
Last updated in NPPESDec 13, 2022

Details

NPI
1710698436
Entity type
Individual (NPI-1)
Name
Jonathan Brown
Sex
Male
Sole proprietor
No
Enumeration date
Dec 13, 2022
Certification date
Dec 13, 2022
Last updated
Dec 13, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health––Yes

Practice location

8915 Sw Center St
Tigard, OR 97223-6307

Phone 503-726-3740

Mailing address

8915 Sw Center St
Tigard, OR 97223-6307

Phone 503-726-3740

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