Individual
JEREMIAH SCHLOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
10424 SE CHERRY BLOSSOM DR STE F, PORTLAND, OR 97216-2801
(503) 459-1858
Mailing address
3406 N MICHIGAN AVE, PORTLAND, OR 97227-1510
(503) 459-1858
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L7464
OR
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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