Individual
NADIA JAFARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3700 N WILLIAMS AVE, PORTLAND, OR 97227-1441
(503) 281-4852
Mailing address
3700 N WILLIAMS AVE, PORTLAND, OR 97227-1441
(503) 281-4852
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MC61005451
WA
103T00000X
Psychologist
PY61180654
WA
103TC0700X
Clinical Psychologist
Primary
3596
OR
103TH0004X
Health Psychologist
—
—
Other
Enumeration date
06/07/2018
Last updated
08/18/2023
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