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Individual

JACOB HUNT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
12636 SE STARK ST BLDG J, PORTLAND, OR 97233-1058
(503) 253-4600
Mailing address
12636 SE STARK ST BLDG J, PORTLAND, OR 97233-1058
(503) 253-4600

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
L10908
OR

Other

Enumeration date
09/28/2016
Last updated
03/21/2025
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