MR. JAY MICHAEL NELSON LMT CADCI NPI 1720232499

NPI Information

NPI: 1720232499
Provider Name: MR. JAY MICHAEL NELSON, LMT, CADCI
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
134 SE 5TH AVE STE C
HILLSBORO, OR
ZIP 97123
Phone: (503) 543-6100
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MR. Jay Michael Nelson, LMT, CADCI is an addiction (substance use disorder) counselor in Hillsboro, OR. MR. Jay Michael Nelson, LMT, CADCI NPI is 1720232499. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

134 SE 5TH AVE STE C
HILLSBORO, OR
ZIP 97123-095
Phone: (503) 543-6100
Fax: (503) 214-8911

The enumeration date for this NPI number is 11/7/2008 and was last updated on 3/9/2023.

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	172V00000X	Community Health Worker		8086	OREGON	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	08-12-37	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	278095	MEDICAID	OREGON
2	1042985	OTHER	OREGON	ASHNET - AMERICAN SPECIALTY HEALTH NETWORK

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: 4/28/2024

NPI Synchronization or Removal

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