Individual
JADE ELISE LOCKHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3135 NE 92ND AVE, PORTLAND, OR 97220-5221
(423) 361-0700
Mailing address
3135 NE 92ND AVE, PORTLAND, OR 97220-5221
(423) 361-0700
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
04/25/2025
Last updated
04/25/2025
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