Individual
JASON CHEUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
7180 SW FIR LOOP, TIGARD, OR 97223-8023
(503) 308-1157
Mailing address
1050 SW 170TH AVE UNIT 203, BEAVERTON, OR 97003-8088
(469) 463-7248
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YP2500X
Professional Counselor
Primary
C7648
OR
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
11/24/2020
Last updated
03/13/2024
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