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Individual
JILL R BIRD
Active
Individual
JILL R BIRD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
QMHA, PSS, PWS, THW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
23-QMHA-R-3419
OR
175T00000X
Peer Specialist
THW3372
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23-QMHA-R-3419
MENTAL HEALTH AND ADDICTION CERTIFICATION BOARD OF OREGON
OR
01
—
THW000003372
OREGON HEALTH AUTHORITY
OR
Enumeration date
04/03/2019
Last updated
03/16/2023
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