person
Jasper Soloman Knox
Mental Health Counselor in Portland, Oregon
NPI 1063195840

Jasper Soloman Knox is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Jasper Soloman Knox practices in Portland, OR. The NPI Number for Jasper Soloman Knox is 1063195840 and holds a License No. (Oregon).

The current practice location address for Jasper Soloman Knox is 1825 Ne Glisan St, Portland, OR and can be reached out via phone at 503-963-7676.

Location: 1825 Ne Glisan St, Portland, OR, 97207-8459
person
Provider Profile Details
NPI Number
1063195840
Provider Name
Jasper Soloman Knox
Credential
Provider Entity Type
Individual
Gender
Male
Address
1825 Ne Glisan St, Portland, OR, 97207-8459
Phone Number
503-963-7676
Fax Number
Provider Enumeration Date
08/09/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1825 Ne Glisan St
City
State
Zip
97232-2844
Phone Number
503-963-7676
Fax Number
person
Provider Business Mailing Address Details
Address
1825 Ne Glisan St
City
State
Zip
97232-2844
Phone Number
503-963-7676
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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