Individual
JONATHAN PENLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
224 S HAMILTON ST STE 201, PORTLAND, OR 97239
(503) 406-0323
Mailing address
5331 S MACADAM AVE STE 258 PMB 696, PORTLAND, OR 97239
(503) 406-0323
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C8613
OR
Other
Enumeration date
05/27/2015
Last updated
12/18/2024
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