Provider Demographics
NPI:1134601727
Name:BEST, JARED ISRAEL
Entity type:Individual
Prefix:MR
First Name:JARED
Middle Name:ISRAEL
Last Name:BEST
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:807 SW 14TH AVE APT 49
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97205-1910
Mailing Address - Country:US
Mailing Address - Phone:971-277-1216
Mailing Address - Fax:
Practice Address - Street 1:510 SW 3RD AVE STE 200
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97204-2507
Practice Address - Country:US
Practice Address - Phone:971-277-1216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-30
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor