Individual
JAY STANTON HOPKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
526 NW 21ST AVE, PORTLAND, OR 97209-1157
(503) 577-8115
Mailing address
3243 N MICHIGAN AVE, PORTLAND, OR 97227-1507
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R2000
OR
Other
Enumeration date
09/01/2011
Last updated
09/01/2011
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