Individual
MITCHELL W JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1030 NE COUCH ST, PORTLAND, OR 97232-3067
(503) 239-8400
Mailing address
10763 SW GREENBURG RD STE 100, TIGARD, OR 97223-5492
(503) 684-8159
(503) 598-0934
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-19-576
OR
Other
Enumeration date
04/07/2020
Last updated
03/12/2021
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