Most Relevant Information
Provider Data
| NPI Number: | 1003657156 |
| Provider Name: | JORDYN EMILY HUBBARD |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/03/2024 |
| Last Updated: | 06/03/2024 |
Provider Practice Location
51 SW LEE ST
NEWPORT
OR
973653823
Practice Location Phone/Fax
| Phone: | 5415745960 |
| Fax: |
Provider Mailing Location
36 SW NYE ST
NEWPORT
OR
973653821
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |