JODI SUMMER LOPEZ
NPI 1063260990
Counselor - Mental Health in Portland, OR
Active since May 07, 2024
About Jodi Summer Lopez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JODI SUMMER LOPEZ (NPI 1063260990) is an individual mental health provider in Portland, Oregon, licensed in Oregon (R11288) and active in the NPI registry since May 2024.
NPPES Registry Identity
NPI1063260990
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJODI SUMMER LOPEZ
Location Address16520 SW UPPER BOONES FERRY RDPortland, OR 97224-7686
Mailing Address16520 Sw Upper Boones Ferry Rd Ste 240Portland, OR 97224-7659 · (971) 250-8014
Phone(971) 250-8014
Sole ProprietorNo
Enumeration DateMay 7, 2024
Last NPPES UpdateJanuary 20, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1063260990 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in OR · R11288
16520 SW UPPER BOONES FERRY RD, Portland, OR 97224
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063260990, enumerated as an "individual" on May 07, 2024.
The provider is located at 16520 SW UPPER BOONES FERRY RD PORTLAND, OR 97224 and the phone number is (971) 250-8014.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
