Individual
MR. JESSE WILLIAM WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
41610 SE COALMAN RD, SANDY, OR 97055-6752
(541) 399-2294
Mailing address
41610 SE COALMAN RD, SANDY, OR 97055-6752
(541) 399-2294
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
104100000X
Social Worker
—
—
Other
Enumeration date
03/19/2010
Last updated
08/18/2023
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