Individual
JESSICA J PAXTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
12442 SW SCHOLLS FERRY RD STE 100, TIGARD, OR 97223-0803
(503) 216-9200
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
3601
OR
Other
Enumeration date
01/17/2018
Last updated
11/02/2022
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