| Jill E. Hauben, Lcsw, Llc | |
|
2325 E Burnside St Portland OR 97214-1655 | |
| (971) 235-5939 | |
| Not Available |
| Full Name | Jill E. Hauben, Lcsw, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 2325 E Burnside St, Portland, Oregon |
| Authorized Official Name and Position | Jill E. Hauben (MENTAL HEALTH THERAPIST) |
| Authorized Official Contact | 9712355939 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jill E. Hauben, Lcsw, Llc 2325 E Burnside St Portland OR 97214-1655 Ph: (971) 235-5939 | Jill E. Hauben, Lcsw, Llc 2325 E Burnside St Portland OR 97214-1655 Ph: (971) 235-5939 |
| NPI Number | 1538674916 |
|---|---|
| Provider Enumeration Date | 12/07/2017 |
| Last Update Date | 12/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538674916 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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