Jack S Bodily
Jack S Bodily is a Mental Health Counselor in Portland, Oregon. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
17720 NE Halsey St Ste BPortland, OR 97230-6771
Phone: (503) 654-7654
Fax: (503) 654-7333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1982103834 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | February 6, 2018 |
| Last updated in NPPES | February 6, 2018 |
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