| Doctor Name: | JILL ELAINE CAIN |
| NPI Number: | 1205277084 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S., L.P.C. |
| License Number: | C2881 |
| Business Practice Address: | 15510 Sw Bell Rd Ste B Sherwood, OR - 971409033 |
| Business Phone Number: | 5036253633 |
| Business Fax Number: | |
| Mailing Address: | 31018 Sw Kensington Dr, WILSONVILLE |
| State: | OR |
| Postal Code: | 970707529 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 07/09/2013 |
| NPI Last Update Date: | 07/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | C2881 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |