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JACK POWELL
NPI 1225165954
Case Manager/Care Coordinator in Portland, OR

Active since February 28, 2007
2415 SE 43RD AVE STE 100, PORTLAND, OR 97206(503) 238-0705 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jack Powell NPPES

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

JACK POWELL (NPI 1225165954) is an individual case manager/care coordinator provider in Portland, Oregon and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1225165954
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameJACK POWELL
Location Address2415 SE 43RD AVE STE 100Portland, OR 97206-1666
Mailing Address1521 Se 120th AvePortland, OR 97216-3936
Phone(503) 238-0705
Sole ProprietorYes
Enumeration DateFebruary 28, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1225165954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
2415 SE 43RD AVE STE 100, Portland, OR 97206
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Other Providers at the Same Location NPPES 10

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

LINDSAY ANN BOLERJACK
Counselor (Addiction (Substance Use Disorder))
2415 SE 43RD AVE STE 100
PORTLAND, OR 97206
Multnomah County (503) 238-0705
RICHARD STRATTON JONES
Community Health Worker
2415 SE 43RD AVE STE 100
PORTLAND, OR 97206
Multnomah County (503) 238-0705
MS. KATHLEEN MULLOY BONILLA M.ED.
Counselor (Mental Health)
2415 SE 43RD AVE STE 100
PORTLAND, OR 97206
Multnomah County (503) 963-2575
ERIK PATTERSON QMHP
Counselor (Mental Health)
2415 SE 43RD AVE STE 100
PORTLAND, OR 97206
Multnomah County (503) 963-2560
MARIA ANNE FLEISCHMAN
Community Health Worker
2415 SE 43RD AVE STE 100
PORTLAND, OR 97206
Multnomah County (503) 238-0705
CATHY MARIE CHRISTIANSON
Community Health Worker
2415 SE 43RD AVE STE 100
PORTLAND, OR 97206
Multnomah County (503) 238-0705
DAVID RAYMOND OLSON
Community Health Worker
2415 SE 43RD AVE STE 100
PORTLAND, OR 97206
Multnomah County (503) 238-0705
CASSANDRA DEE GEMELLI MSW
Counselor (Mental Health)
2415 SE 43RD AVE STE 100
PORTLAND, OR 97206
Multnomah County (503) 963-2575

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 Jack Powell's NPI number?

The NPI number for Jack Powell is 1225165954. It was assigned to this individual provider in the NPPES registry on February 28, 2007.

Where is Jack Powell located?

Jack Powell practices at 2415 SE 43rd Ave Ste 100, Portland, OR 97206. The listed phone number is (503) 238-0705.

What is Jack Powell's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Jack Powell was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.