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Organization
KAIROSPDX
Active
Organization
KAIROSPDX
Active
Other names
KairosPDX
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DONALD JACKSON JR. (ASSISTANT DIRECTOR - MENTAL HEALTH)
(503) 567-9820
Entity
Organization
Contact information
Practice address
4915 N GANTENBEIN AVE, PORTLAND, OR 97217-2814
(503) 567-9820
Mailing address
PO BOX 12190, PORTLAND, OR 97212-0190
(503) 567-9820
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/28/2024
Last updated
10/28/2024
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