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JAI MEDINA
NPI 1144605296
Counselor - Mental Health in Portland, OR

Active since July 29, 2015
11640 SW BOONES FERRY RD, PORTLAND, OR 97219(503) 683-3085 Get Directions Write a Review

NPPES record last updated: July 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jai Medina NPPES

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

JAI MEDINA (NPI 1144605296) is an individual mental health provider in Portland, Oregon and active in the NPI registry since July 2015.

NPPES Registry Identity

NPI1144605296
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameJAI MEDINA
Location Address11640 SW BOONES FERRY RDPortland, OR 97219-7736
Mailing Address11640 Sw Boones Ferry RdPortland, OR 97219-7736
Phone(503) 683-3085
Sole ProprietorNo
Enumeration DateJuly 29, 2015
✔ NPI 1144605296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
11640 SW BOONES FERRY RD, Portland, OR 97219
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Other Providers at the Same Location NPPES

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

MEGAN MUNK
Doula
11640 SW BOONES FERRY RD
PORTLAND, OR 97219
Multnomah County (360) 780-0573

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 Jai Medina's NPI number?

The NPI number for Jai Medina is 1144605296. It was assigned to this individual provider in the NPPES registry on July 29, 2015.

Where is Jai Medina located?

Jai Medina practices at 11640 SW Boones Ferry Rd, Portland, OR 97219. The listed phone number is (503) 683-3085.

What is Jai Medina's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Jai Medina was last updated on July 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.