Individual
DR. JASON LEE BREAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2245 NE 36TH AVE, PORTLAND, OR 97212-5239
(503) 916-5160
Mailing address
2245 NE 36TH AVE, PORTLAND, OR 97212-5239
(503) 916-5160
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
99558
OR
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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