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Individual

JAYCANNA MICHELLE DAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PPS

Contact information

Practice address
649 NE HOOD AVE, GRESHAM, OR 97030-7328
(971) 997-0415
(503) 588-4788
Mailing address
15541 SE STEPHENS CT, PORTLAND, OR 97233-3361
(971) 997-0415

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
175T00000X
Peer Specialist
Primary
109938
OR

Other

Enumeration date
12/31/2015
Last updated
05/07/2026
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