Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACKLYN EWALD LPC
NPI 1003370578
Psychologist - Health Service in West Linn, OR

Q: What is Jacklyn Ewald's NPI number?

The NPI number for Jacklyn Ewald is 1003370578. It was assigned to this individual provider in the NPPES registry on January 29, 2019.

Q: What is Jacklyn Ewald's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Health Service, with taxonomy code 103TH0100X.

Q: When was this NPI record last updated?

The NPPES record for Jacklyn Ewald was last updated on July 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 29, 2019

21900 WILLAMETTE DR STE 202, WEST LINN, OR 97068(503) 653-0631 Get Directions Write a Review

NPPES record last updated: July 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 12, 2026, Jun 2, 2026, Jul 1, 2020 and 1 more (4 updates tracked since 2019).

On this page

About Jacklyn Ewald Lpc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACKLYN EWALD LPC (NPI 1003370578) is an individual health service provider in West Linn, Oregon, licensed in Oregon (R389) and active in the NPI registry since January 2019.

NPPES Registry Identity

NPI1003370578

Entity TypeIndividualFemale

Primary Taxonomy103TH0100X

Provider Legal NameJACKLYN EWALDCredential: LPC

Location Address21900 WILLAMETTE DR STE 202West Linn, OR 97068-3284

Mailing Address21900 Willamette Dr Ste 202West Linn, OR 97068-3284 · (503) 653-0631

Phone(503) 653-0631

Sole ProprietorNo

Enumeration DateJanuary 29, 2019

Last NPPES UpdateJuly 12, 20264 updates tracked since enumeration

NPPES CertifiedJuly 12, 2026

✔ NPI 1003370578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychologist · Health ServiceBehavioral Health & Social Service Providers

Taxonomy Code103TH0100X

License✔ Licensed in OR · R389

Definition

A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

Also ListedCounselorTaxonomy 101Y00000X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License C.1902396 (OH)

21900 WILLAMETTE DR STE 202, West Linn, OR 97068

Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY KATARINA VANGAASBEEK

Psychologist (Health Service)