Individual
JAY FREEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
709 NW EVERETT ST, PORTLAND, OR 97209-3517
(971) 352-8745
Mailing address
232 NW 6TH AVE, PORTLAND, OR 97209-3609
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-23-2748
OR
101YM0800X
Mental Health Counselor
25-QMHA-R-7103
OR
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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