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General NPI Number Information
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NPI Number | 1821984147
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Entity Type | Individual
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Provider Name | JAMISON JOSHUA JOUNO ED.S, NCSP
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Gender | Male
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 06/13/2025
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Provider Practice Location Address
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Address Line | 620 N FREMONT ST
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City | PORTLAND
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State | OR
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Zip | 97227-1230
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Country | US
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Telephone | 503-765-6920
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Fax |
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Provider Business Mailing Address
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Address Line | 1970 NW RALEIGH ST APT 310
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City | PORTLAND
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State | OR
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Zip | 97209-1779
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 544453
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License Number State | OR
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