Individual provider · Type 1 NPI

Jasper Soloman Knox

Mental Health Counselor · Portland, OR

NPI number 1063195840 Active

Practice location

1825 NE Glisan St
Portland, OR 97232-2844

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1063195840

Jasper Soloman Knox's National Provider Identifier is 1063195840, issued on Aug 9, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Aug 9, 2023.