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JACKIE HAMM MA
NPI 1114507936
Counselor - Professional in Portland, OR

Active since April 14, 2021
10424 SE CHERRY BLOSSOM DR STE K, PORTLAND, OR 97216(971) 915-4994(971) 484-1937 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 13, 2025, Apr 14, 2021 (2 updates tracked since 2021).

About Jackie Hamm Ma NPPES

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

JACKIE HAMM MA (NPI 1114507936) is an individual professional provider in Portland, Oregon, licensed in Oregon (C9749) and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1114507936
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameJACKIE HAMMCredential: MA
Location Address10424 SE CHERRY BLOSSOM DR STE KPortland, OR 97216-2801
Mailing Address4216 Ne 114th AvePortland, OR 97220-1585
Phone(971) 915-4994
Fax(971) 484-1937
Sole ProprietorYes
Enumeration DateApril 14, 2021
Last NPPES UpdateMay 13, 20252 updates tracked since enumeration
NPPES CertifiedMay 13, 2025
✔ NPI 1114507936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in OR · C9749
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
10424 SE CHERRY BLOSSOM DR STE K, Portland, OR 97216
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jackie Hamm's NPI number?

The NPI number for Jackie Hamm is 1114507936. It was assigned to this individual provider in the NPPES registry on April 14, 2021.

Where is Jackie Hamm located?

Jackie Hamm practices at 10424 SE Cherry Blossom Dr Ste K, Portland, OR 97216. The listed phone number is (971) 915-4994.

What is Jackie Hamm's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Jackie Hamm was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.