Individual
JEREMY MCALLISTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
4230 SE KING RD UNIT 374, PORTLAND, OR 97222-5259
(503) 284-6754
(503) 284-6754
Mailing address
4230 SE KING RD UNIT 374, PORTLAND, OR 97222-5259
(503) 284-6754
(503) 284-6754
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C3882
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13612353
CAQH
—
Enumeration date
02/22/2011
Last updated
12/09/2025
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