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Individual

JACKIE HAMM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
10424 SE CHERRY BLOSSOM DR STE K, PORTLAND, OR 97216-2801
(971) 915-4994
(971) 484-1937
Mailing address
4216 NE 114TH AVE, PORTLAND, OR 97220-1585

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary
C9749
OR

Other

Enumeration date
04/14/2021
Last updated
05/13/2025
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