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Individual

JILL MARIE VANWORMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MFT

Contact information

Practice address
315 E MAIN ST STE 211, HILLSBORO, OR 97123-4173
(503) 928-8899
(877) 920-1872
Mailing address
315 E MAIN ST STE 211, HILLSBORO, OR 97123-4173
(503) 928-8899
(779) 201-8728

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
123190
OR
Enumeration date
07/25/2008
Last updated
10/26/2023
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