Organization
JILL E. HAUBEN, LCSW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL E. HAUBEN MSW, LCSW (MENTAL HEALTH THERAPIST)
(971) 235-5939
Entity
Organization
Contact information
Practice address
2325 E BURNSIDE ST, PORTLAND, OR 97214-1655
(971) 235-5939
Mailing address
2325 E BURNSIDE ST, PORTLAND, OR 97214-1655
(971) 235-5939
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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