person
Mr. Jon Larry Smith, QMHA
Mental Health Counselor in Portland, Oregon
NPI 1811043011

Jon Larry Smith is a Mental Health Counselor based in Portland, OR and is specialized in Mental Health. Jon Larry Smith practices in Portland, OR and has the professional credentials of QMHA. The NPI Number for Jon Larry Smith is 1811043011 and holds a License No. (Oregon).

The current practice location address for Jon Larry Smith is 5009 Ne Killingsworth St, Portland, OR and can be reached out via phone at 503-402-8116.

Location: 5009 Ne Killingsworth St, Portland, OR, 97214-1449
person
Provider Profile Details
NPI Number
1811043011
Provider Name
Jon Larry Smith
Credential
QMHA
Provider Entity Type
Individual
Gender
Male
Address
5009 Ne Killingsworth St, Portland, OR, 97214-1449
Phone Number
503-402-8116
Fax Number
Provider Enumeration Date
01/28/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
5009 Ne Killingsworth St
City
State
Zip
97218-1915
Phone Number
503-402-8116
Fax Number
person
Provider Business Mailing Address Details
Address
5009 Ne Killingsworth St
City
State
Zip
97218-1915
Phone Number
503-402-8116
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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