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Individual

MR. JONATHAN SKLAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.S.

Contact information

Practice address
16535 SW TUALATIN VALLEY HWY, BEAVERTON, OR 97003-5143
(503) 649-5651
Mailing address
3616 N BORTHWICK AVE, APT A, PORTLAND, OR 97227-1356
(949) 310-6976

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
LMFT86066
CA
106H00000X
Marriage & Family Therapist
Primary
T1053
OR

Other

Enumeration date
09/09/2015
Last updated
09/09/2015
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