Provider Demographics
NPI:1700172269
Name:JAHN, DAREN MATTHEW
Entity Type:Individual
Prefix:MR
First Name:DAREN
Middle Name:MATTHEW
Last Name:JAHN
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 1:4408 SE JENNINGS AVE
Mailing Address - Street 2:
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97267-6416
Mailing Address - Country:US
Mailing Address - Phone:530-935-0446
Mailing Address - Fax:
Practice Address - Street 1:4408 SE JENNINGS AVE
Practice Address - Street 2:
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97267-6416
Practice Address - Country:US
Practice Address - Phone:503-935-0446
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-23
Last Update Date:2011-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor