JORDAN HENDRICKSON PSYD LLC NPI 1295119089

NPI Information

NPI: 1295119089
Provider Name: JORDAN HENDRICKSON, PSYD LLC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
3310 SE DIVISION ST
PORTLAND, OR
ZIP 97202
Phone: (503) 709-3295
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JORDAN HENDRICKSON, PSYD LLC is a mental health counselor in Portland, OR. JORDAN HENDRICKSON, PSYD LLC NPI is 1295119089. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3310 SE DIVISION ST
PORTLAND, OR
ZIP 97202-457
Phone: (503) 709-3295

The provider's authorized official is Jordan Hendrickson .
The authorized official title is Owner and has the following contact phone number (503) 709-3295.

The enumeration date for this NPI number is 7/13/2015 and was last updated on 7/13/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	2608	OREGON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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