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Jason Uthenwoldt
Addiction (Substance Use Disorder) Counselor in Portland, Oregon
NPI 1972197366

Jason Uthenwoldt is an Addiction (Substance Use Disorder) Counselor based in Portland, OR and is specialized in Addiction (Substance Use Disorder). Jason Uthenwoldt practices in Portland, OR. The NPI Number for Jason Uthenwoldt is 1972197366 and holds a License No. (Oregon).

The current practice location address for Jason Uthenwoldt is 4411 Ne Emerson St, Portland, OR and can be reached out via phone at 503-535-1153.

Location: 4411 Ne Emerson St, Portland, OR, 97218-1537
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Provider Profile Details
NPI Number
1972197366
Provider Name
Jason Uthenwoldt
Credential
Provider Entity Type
Individual
Gender
Male
Address
4411 Ne Emerson St, Portland, OR, 97218-1537
Phone Number
503-535-1153
Fax Number
Provider Enumeration Date
02/25/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1001787210017872 01 OR BCBS
institution
Provider Business Practice Location Address Details
Address
4411 Ne Emerson St
City
State
Zip
97218-1537
Phone Number
503-535-1153
Fax Number
person
Provider Business Mailing Address Details
Address
4411 Ne Emerson St
City
State
Zip
97218-1537
Phone Number
503-535-1153
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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