Individual
MR. JAMIE MATTHEW KUBESS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CSWA
Contact information
Practice address
12655 SW CENTER ST STE 100, BEAVERTON, OR 97005-1600
(503) 828-3402
Mailing address
9600 SW OAK ST STE 500&520, TIGARD, OR 97223-6583
(971) 364-8069
(971) 209-7261
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
25-03-11434
OR
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
A15996
OR
Other
Enumeration date
03/24/2022
Last updated
07/20/2026
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