Jennifer A Bacon

NPI #1225781644 in Aloha, Oregon

Provider Information

NPI Number: 1225781644
Entity Type: Individual
Name: Jennifer A Bacon
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jan 27, 2022
Last Updated: Jan 27, 2022

Practice Location

Address: 4585 SW 185TH AVE
City: Aloha
State: Oregon
ZIP Code: 97078-1557
Phone: (503) 591-9280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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