Individual
MR. JAY FRANKLIN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LCSW
Contact information
Practice address
2130 SW 5TH AVE, SUITE 210, PORTLAND, OR 97201-4976
(503) 963-7794
Mailing address
3721 SE MORRISON ST, PORTLAND, OR 97214-3209
(503) 810-6935
(503) 233-5806
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1852
OR
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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