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Individual

JASON PAUL WYMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
720 SE WASHINGTON ST, HILLSBORO, OR 97123-4230
(503) 648-0753
Mailing address
3950 SW 102ND AVE APT 94, BEAVERTON, OR 97005-4674
(503) 806-7499

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
08/31/2006
Last updated
07/08/2007
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