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Jessy Powell
Peer Specialist in Hillsboro, Oregon
NPI 1699372847

Jessy Powell is a Peer Specialist based in Portland, OR. Jessy Powell practices in Hillsboro, OR. The NPI Number for Jessy Powell is 1699372847 and holds a License No. THW000003506 (Oregon).

The current practice location address for Jessy Powell is 1049 Sw Baseline St, Hillsboro, OR and can be reached out via phone at 503-465-2749. You can also correspond with Jessy Powell through the mailing address at PO BOX 16576, PORTLAND, OR - 97292-0576 (mailing address contact number: 503-465-2749).

Location: 1049 Sw Baseline St, Hillsboro, OR, 97292-0576
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699372847
Provider Name
Jessy Powell
Credential
Provider Entity Type
Individual
Gender
Male
Address
1049 Sw Baseline St, Hillsboro, OR, 97292-0576
Phone Number
503-465-2749
Fax Number
Provider Enumeration Date
10/01/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1049 Sw Baseline St
City
Hillsboro
State
Oregon
Zip
97123-3835
Phone Number
503-465-2749
Fax Number
person
Provider Business Mailing Address Details
Address
1049 Sw Baseline St
City
Hillsboro
State
Oregon
Zip
97123-3835
Phone Number
503-465-2749
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
THW000003506 (Oregon)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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