person
Jeremy Mcallister, MA
Professional Counselor in Portland, Oregon
NPI 1063719417

Jeremy Mcallister is a Professional Counselor based in Portland, OR and is specialized in Professional. Jeremy Mcallister practices in Portland, OR and has the professional credentials of MA. The NPI Number for Jeremy Mcallister is 1063719417 and holds a License No. C3882 (Oregon).

The current practice location address for Jeremy Mcallister is 4838 Ne Sandy Blvd, Portland, OR and can be reached out via phone at 503-284-6754 and via fax at 503-284-6754.

Location: 4838 Ne Sandy Blvd, Portland, OR, 97213-2091
person
Provider Profile Details
NPI Number
1063719417
Provider Name
Jeremy Mcallister
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
4838 Ne Sandy Blvd, Portland, OR, 97213-2091
Phone Number
503-284-6754
Fax Number
503-284-6754
Provider Enumeration Date
02/22/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
13612353 01 CAQH
institution
Provider Business Practice Location Address Details
Address
4838 Ne Sandy Blvd
City
State
Zip
97213-2091
Phone Number
503-284-6754
Fax Number
503-284-6754
person
Provider Business Mailing Address Details
Address
4838 Ne Sandy Blvd
City
State
Zip
97213-2091
Phone Number
503-284-6754
Fax Number
503-284-6754
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
C3882 (Oregon)
Definition
Definition to come...
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