Individual
JORDAN SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1800 NE MARKET DR, FAIRVIEW, OR 97024-7000
(503) 273-5142
Mailing address
3710 SW US VETERANS HOSPITAL RD, PORTLAND, OR 97239-2964
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7433
OR
Other
Enumeration date
03/26/2019
Last updated
03/26/2019
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