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Organization
JORDAN HENDRICKSON, PSYD LLC
Active
Organization
JORDAN HENDRICKSON, PSYD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN HENDRICKSON MD (OWNER)
(503) 709-3295
Entity
Organization
Contact information
Practice address
3310 SE DIVISION ST, PORTLAND, OR 97202-1457
(503) 709-3295
Mailing address
3310 SE DIVISION ST, PORTLAND, OR 97202-1457
(503) 709-3295
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2608
OR
Other
Enumeration date
07/13/2015
Last updated
07/13/2015
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