Jason Allen Endicott

NPI #1912890922 in Brightwood, Oregon

Provider Information

NPI Number: 1912890922
Entity Type: Individual
Name: Jason Allen Endicott
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: May 29, 2025
Last Updated: May 29, 2025

Practice Location

Address: PO BOX 36
City: Brightwood
State: Oregon
ZIP Code: 97011-0036
Phone: (971) 269-9727

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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