LAURA JORDAN
NPI 1073946448
Counselor - Mental Health in Portland, OR
Active since August 20, 2013
About Laura Jordan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LAURA JORDAN (NPI 1073946448) is an individual mental health provider in Portland, Oregon and active in the NPI registry since August 2013.
NPPES Registry Identity
NPI1073946448
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLAURA JORDAN
Location Address17720 NE HALSEY STPortland, OR 97230-6734
Mailing Address3587 Heathrow WayMedford, OR 97504-4004 · (541) 858-8170
Phone(503) 654-7654
Fax(503) 654-7333
Sole ProprietorNo
Enumeration DateAugust 20, 2013
Last NPPES UpdateMarch 22, 2017
✔ NPI 1073946448 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
17720 NE HALSEY ST, Portland, OR 97230
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.
Community Based Residential Treatment Facility, Mental Illness
17720 NE HALSEY ST
PORTLAND, OR 97230
PORTLAND, OR 97230
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1073946448, enumerated as an "individual" on August 20, 2013.
The provider is located at 17720 NE HALSEY ST PORTLAND, OR 97230 and the phone number is (503) 654-7654.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
