Individual
MR. JESSE I. MERCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRM, PSS
Contact information
Practice address
6828 SE HOLGATE BLVD, PORTLAND, OR 97206-3504
(971) 803-8290
Mailing address
14934 SE 117TH AVE, CLACKAMAS, OR 97015-9244
(425) 830-5819
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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