| Jordan Hendrickson, Psyd Llc | |
|
3310 Se Division St Portland OR 97202-1457 | |
| (503) 709-3295 | |
| Not Available |
| Full Name | Jordan Hendrickson, Psyd Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3310 Se Division St, Portland, Oregon |
| Authorized Official Name and Position | Jordan Hendrickson (OWNER) |
| Authorized Official Contact | 5037093295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Hendrickson, Psyd Llc 3310 Se Division St Portland OR 97202-1457 Ph: (503) 709-3295 | Jordan Hendrickson, Psyd Llc 3310 Se Division St Portland OR 97202-1457 Ph: (503) 709-3295 |
| NPI Number | 1295119089 |
|---|---|
| Provider Enumeration Date | 07/13/2015 |
| Last Update Date | 07/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295119089 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 2608 (Oregon) | Primary |
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