Individual
JENNIFER BYNUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5440 SW WESTGATE DR STE 350, PORTLAND, OR 97221-2447
(971) 352-6971
(971) 352-6984
Mailing address
5441 S MACADAM AVE STE R, PORTLAND, OR 97239-3822
(801) 440-5254
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
A17009
OR
Other
Enumeration date
08/19/2025
Last updated
09/10/2025
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