Individual
DR. JASON I CHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3710 SW US VETERANS HOSPITAL RD # R&D66, PORTLAND, OR 97239-2964
(503) 220-8262
Mailing address
3710 SW US VETERANS HOSPITAL RD # R&D66, PORTLAND, OR 97239-2964
(503) 220-8262
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2925
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2925
OREGON BOARD OF PSYCHOLOGY
OR
Enumeration date
07/16/2018
Last updated
07/16/2018
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