Individual
MR. JES DIMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LICSW, LSSW
Contact information
Practice address
494 STATE ST STE 270, SALEM, OR 97301-3647
(503) 583-2121
(855) 855-4872
Mailing address
494 STATE ST STE 270, SALEM, OR 97301-3647
(503) 583-2121
(855) 855-4872
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L8221
OR
1041C0700X
Clinical Social Worker
LW60993977
WA
1041S0200X
School Social Worker
431736
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500688776
—
OR
Enumeration date
11/07/2013
Last updated
04/26/2022
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