Individual
JESSE EMERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSWA
Contact information
Practice address
3181 SW SAM JACKSON PARK RD # PPV350, PORTLAND, OR 97239-3011
(503) 494-8562
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-8562
(503) 418-5505
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
A13193
OR
1041C0700X
Clinical Social Worker
Primary
L16878
OR
Other
Enumeration date
08/29/2020
Last updated
04/29/2026
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