Individual
JESS BUNYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRM
Contact information
Practice address
1805 NE SANDY BLVD, PORTLAND, OR 97232-2884
(503) 506-0246
Mailing address
1805 NE SANDY BLVD, PORTLAND, OR 97232-2884
(503) 506-0246
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
10/09/2023
Last updated
10/09/2023
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