Individual
JARED WORTHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
811 E BURNSIDE ST, STE 217, PORTLAND, OR 97214-1231
(989) 948-7687
Mailing address
811 E BURNSIDE ST, STE 217, PORTLAND, OR 97214-1231
(503) 476-1189
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD203226
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/04/2015
Last updated
11/07/2021
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