Search › Oregon › 175T00000X
Jermaine Mason, PEER SUPPORT SPECIAL
NPI 1487282521 · on the registry since 2020
Practice
- Address
- 3311 Ne Martin Luther King Jr Blvd Ste 104
Portland, OR 97212 - Phone
- (503) 206-8856
- Fax
- (503) 327-8318
- Clinicians at this address
- 10
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-04-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon